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BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC NPI 1003849589


NPI Information

NPI: 1003849589
Provider Name: BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC

Doing Business As: LABURNUM MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D0227776

Address:
4620 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
Phone: (804) 226-2444
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BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC is a family medicine in Richmond, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC NPI is 1003849589. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Laburnum Medical Center.

The provider's business location address is:

4620 S LABURNUM AVE
RICHMOND, VA
ZIP 23231
Phone: (804) 226-2444
Fax: (804) 222-0458

The provider's authorized official is Cassie Lowe .
The authorized official title is Director Payer Enrollment and has the following contact phone number (513) 952-5210.

The CLIA number assigned to this NPI record is 49D0227776 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 4/24/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2208000000XPediatricsNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CN5711OTHERVIRGINIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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