| Bon Secours Memorial Regional Medical Center, Inc. | |
|
390 Virginia St Suite A Urbanna VA 23175-9903 | |
| (804) 285-6020 | |
| (804) 758-2765 |
| Full Name | Bon Secours Memorial Regional Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 390 Virginia St, Urbanna, Virginia |
| Authorized Official Name and Position | George Butler (DIRECTOR CORPORATE RESPONSIBILTY) |
| Authorized Official Contact | 8042810271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Memorial Regional Medical Center, Inc. 390 Virginia St Suite A Urbanna VA 23175-9903 Ph: (804) 285-6020 | Bon Secours Memorial Regional Medical Center, Inc. 390 Virginia St Suite A Urbanna VA 23175-9903 Ph: (804) 285-6020 |
| NPI Number | 1386086643 |
|---|---|
| Provider Enumeration Date | 07/26/2013 |
| Last Update Date | 07/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386086643 | NPI | - | NPPES |
| C06115 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
James R. Robusto Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5399 Old Virginia St., Urbanna, VA 23175 Phone: 804-758-2110 Fax: 804-758-0256 | |
Bon Secours Virginia Medical Group I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Virginia St, Suite A, Urbanna, VA 23175 Phone: 804-285-6020 Fax: 804-758-2765 |