Neruology Clinic - Bon Secours Medical Group

LBN: Bon Secours St Francis Medical Center Llc
Neruology Clinic - Bon Secours Medical Group is an health care organization with primary practice located at 11601 Iron Bridge Rd Suite 207, Chester VA 23831-1466. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Managed Care Organizations / Preferred Provider Organization. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Bon Secours St Francis Medical Center Llc can be contacted via phone (804) 285-6880, or through Ralston, Kimberly M via phone (419) 996-5119.

Contact Information

Primary practice address
11601 Iron Bridge Rd Suite 207 Chester VA 23831-1466
Fax: (804) 706-1585
Website:
Authorized official contact:
Name: Ralston, Kimberly M

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101235914 Virginia
Managed Care Organizations / Preferred Provider Organization 305R00000X 0101235914 Virginia

Profile Details

NPI number 1013143635
LBN Legal business name Bon Secours St Francis Medical Center Llc
DBA Doing business as Neruology Clinic - Bon Secours Medical Group
Authorized official Ralston, Kimberly M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2009
Last updated May 5th, 2022 - about 2 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 1013143635 NPPES
Virginia Other C09633 MEDICARE GROUP PTAN

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