Glen Allen Internal Medicine

LBN: Bon Secours-St. Mary'S Hospital Of Richmond, Inc.
Glen Allen Internal Medicine is an health care organization with primary practice located at 5207 Hickory Park Dr Suite A, Glen Allen VA 23059-2624. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Bon Secours-St. Mary'S Hospital Of Richmond, Inc. can be contacted via phone (804) 612-2980, or through Butler, George O via phone (804) 281-0271.

Contact Information

Primary practice address
5207 Hickory Park Dr Suite A Glen Allen VA 23059-2624
Phone: (804) 612-2980
Fax: (804) 762-7102
Website:
Map and Directions
Authorized official contact:
Name: Butler, George O
Phone: (804) 281-0271

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1063799302
LBN Legal business name Bon Secours-St. Mary'S Hospital Of Richmond, Inc.
DBA Doing business as Glen Allen Internal Medicine
Authorized official Butler, George O
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2011
Last updated Oct 24th, 2018 - about 7 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 1063799302 NPPES
Virginia Other C06778 GROUP PTAN

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