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Bon Secours Depaul Medical Center INC

in Norfolk, VA. Organization (NPI-2).

NPI number1902929144
StatusActive
Last updated in NPPESMay 16, 2019

Details

NPI
1902929144
Entity type
Organization (NPI-2)
Legal business name
Bon Secours Depaul Medical Center INC
Organization subpart
Yes
Enumeration date
Apr 10, 2007
Last updated
May 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X ––Yes

Other names

  • Depaul Palliative Program (Doing Business As)

Practice location

150 Kingsley Ln
Norfolk, VA 23505-4602

Phone 757-869-7858 · Fax 757-398-4420

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Phone 804-627-5462 · Fax 866-449-0896

Authorized official

Stephan Quiriconi
Cfo
8042818301

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