| Bon Secours St. Francis Family Medicine Center | |
|
13540 Hull Street Rd Midlothian VA 23112 | |
| (804) 739-6142 | |
| (804) 739-8923 |
| Full Name | Bon Secours St. Francis Family Medicine Center |
|---|---|
| Speciality | Family Medicine |
| Location | 13540 Hull Street Rd, Midlothian, Virginia |
| Authorized Official Name and Position | Kimberly Ralston (SYSTEM DIRECTOR) |
| Authorized Official Contact | 4199965119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours St. Francis Family Medicine Center Po Box 639993 Cincinnati OH 45263-9993 Ph: () - | Bon Secours St. Francis Family Medicine Center 13540 Hull Street Rd Midlothian VA 23112 Ph: (804) 739-6142 |
| NPI Number | 1497788806 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 10/05/2021 |
| Medicare PECOS PAC ID | 0648215418 |
|---|---|
| Medicare Enrollment ID | O20190507002725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497788806 | NPI | - | NPPES |
| DD8379 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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