Bon Secours Depaul Medical Center Image Recovery Center

LBN: Bon Secours Depaul Medical Center Image Recovery Center
Bon Secours Depaul Medical Center Image Recovery Center is an health care organization with primary practice located at 150 Kingsley Ln /Suite #1 - Image Recovery Center, Norfolk VA 23505-4602. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Bon Secours Depaul Medical Center Image Recovery Center can be contacted via phone (757) 889-5795, or through Duggan, Daniel via phone (757) 889-5851.

Contact Information

Primary practice address
150 Kingsley Ln /Suite #1 - Image Recovery Center Norfolk VA 23505-4602
Phone: (757) 889-5795
Fax: (757) 889-5820
Website:
Map and Directions
Authorized official contact:
Name: Duggan, Daniel
Phone: (757) 889-5851

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1202014479 Virginia

Profile Details

NPI number 1922054287
LBN Legal business name Bon Secours Depaul Medical Center Image Recovery Center
DBA Doing business as
Authorized official Duggan, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922054287 NPPES
Virginia MEDICAID 9109404

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