| Bon Secours-virginia Healthsource | |
|
7001 Forest Ave Suite 2500 Richmond VA 23230 | |
| (804) 282-7857 | |
| (804) 282-7899 |
| Full Name | Bon Secours-virginia Healthsource |
|---|---|
| Speciality | Internal Medicine |
| Location | 7001 Forest Ave, Richmond, Virginia |
| Authorized Official Name and Position | George O Butler (DIRECTOR, CORPORATE RESPONSIBILITY) |
| Authorized Official Contact | 8042810271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours-virginia Healthsource 7001 Forest Ave Suite 2500 Richmond VA 23230-1724 Ph: (804) 282-7857 | Bon Secours-virginia Healthsource 7001 Forest Ave Suite 2500 Richmond VA 23230 Ph: (804) 282-7857 |
| NPI Number | 1497788798 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 07/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497788798 | NPI | - | NPPES |
| CG5286 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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