Organization
BON SECOURS-VIRGINIA HEALTHSOURCE INC
Active
Parent organization
BON SECOURS-VIRGINIA HEALTHSOURCE INC
Other names
James River Surgical Associates-Women's Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE INC
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
8266 ATLEE RD STE 215, MECHANICSVILLE, VA 23116-1805
(804) 559-6181
(804) 559-6185
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
Enumeration date
11/30/2007
Last updated
06/11/2019
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