| Bon Secours-st. Mary's Hospital Of Richmond, Inc. | |
|
6900 Forest Ave Suite 115 Richmond VA 23230-1701 | |
| (804) 893-8710 | |
| Not Available |
| Full Name | Bon Secours-st. Mary's Hospital Of Richmond, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 6900 Forest Ave, Richmond, Virginia |
| Authorized Official Name and Position | George Odell Butler (DIRECTOR OF CORP RESPONSIBILITY) |
| Authorized Official Contact | 8042810271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours-st. Mary's Hospital Of Richmond, Inc. 6900 Forest Ave Suite 115 Richmond VA 23230-1701 Ph: (804) 893-8710 | Bon Secours-st. Mary's Hospital Of Richmond, Inc. 6900 Forest Ave Suite 115 Richmond VA 23230-1701 Ph: (804) 893-8710 |
| NPI Number | 1821350323 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 10/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821350323 | NPI | - | NPPES |
| 1962464016 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H1833 (Virginia) | Primary |
Healthwest Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7660 E Parham Road, Suite 204, Richmond, VA 23294 Phone: 804-364-8802 Fax: 804-364-1288 | |
House Call Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7323 Boulder View Ln, Richmond, VA 23225 Phone: 804-744-5050 Fax: 804-744-8811 | |
Bon Secours Virginia Medical Group I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5855 Bremo Rd, Suite 102, Richmond, VA 23226 Phone: 804-673-2814 Fax: 804-673-2873 | |
Sacient Acp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1702 Dakota Ave, Richmond, VA 23220 Phone: 804-418-0876 | |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |
Premise Health Of Virginia Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6601 W Broad St, Richmond, VA 23230 Phone: 804-484-8891 |