Bon Secours St Mary'S Hospital Of Richmond LLC
Internal Medicine in Richmond, VA. Organization (NPI-2).
NPI number1144507484
StatusActive
Last updated in NPPESOct 5, 2021
Details
- NPI
- 1144507484
- Entity type
- Organization (NPI-2)
- Legal business name
- Bon Secours St Mary'S Hospital Of Richmond LLC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2011
- Certification date
- Oct 5, 2021
- Last updated
- Oct 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- West End Internal Medicine (Doing Business As)
Practice location
7001 Forest AveSuite 2500
Richmond, VA 23230-1726
Phone 804-282-7857 · Fax 804-282-7899
Mailing address
8580 Magellan PkwyRichmond, VA 23227-1149
Fax 866-449-0896
Authorized official
Kimberly M Ralston
System Director
4199965119
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