| Bon Secours Associated Internists | |
|
7001 Forest Ave Suite 405 Richmond VA 23230-1726 | |
| (804) 288-3079 | |
| (804) 282-6159 |
| Full Name | Bon Secours Associated Internists |
|---|---|
| Speciality | Internal Medicine |
| Location | 7001 Forest Ave, Richmond, Virginia |
| Authorized Official Name and Position | Wilbur Gay (CFO) |
| Authorized Official Contact | 8645617672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Associated Internists 8580 Magellan Pkwy Richmond VA 23227-1149 | Bon Secours Associated Internists 7001 Forest Ave Suite 405 Richmond VA 23230-1726 Ph: (804) 288-3079 |
| NPI Number | 1417255365 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 09/04/2020 |
| Certification Date | 09/04/2020 |
| Medicare PECOS PAC ID | 8527969476 |
|---|---|
| Medicare Enrollment ID | O20190507002620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417255365 | NPI | - | NPPES |
| C06778 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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