Bon Secours Short Pump Primary Care

LBN: Bon Secours-St. Mary'S Hospital Of Richmond, Inc.
Bon Secours Short Pump Primary Care is an health care organization with primary practice located at 12320 W Broad St Ste 204 , Richmond VA 23233. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, 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 Quiriconi, Stephan via phone (804) 281-8301.

Contact Information

Primary practice address
12320 W Broad St Ste 204 Richmond VA 23233
Phone: (804) 612-2980
Fax: (804) 762-7102
Website:
Map and Directions
Authorized official contact:
Name: Quiriconi, Stephan
Phone: (804) 281-8301

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1124532239
LBN Legal business name Bon Secours-St. Mary'S Hospital Of Richmond, Inc.
DBA Doing business as Bon Secours Short Pump Primary Care
Authorized official Quiriconi, Stephan
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2017
Last updated Aug 30th, 2019 - 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 1124532239 NPPES
Virginia Other C06778 MEDICARE PTAN

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