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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND INC. NPI 1487991618


NPI Information

NPI: 1487991618
Provider Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Doing Business As: BON SECOURS PEDIATRIC HEMATOLOGY/ONCOLOGY

Classification: Pediatrics - 2080P0207X
Entity Type: Organization

Specialization: Pediatric Hematology-Oncology

Address:
5875 BREMO RD
SUITE 104
RICHMOND, VA
ZIP 23226
Phone: (804) 281-0275
Get Directions

BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. is a pediatric hematology-oncology pediatrics in Richmond, VA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. NPI is 1487991618. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bon Secours Pediatric Hematology/oncology.

The provider's business location address is:

5875 BREMO RD
SUITE 104
RICHMOND, VA
ZIP 23226-934
Phone: (804) 281-0275
Fax: (804) 521-9344

The provider's authorized official is George Butler .
The authorized official title is Director Corporate Responsibility and has the following contact phone number (804) 281-0271.

The enumeration date for this NPI number is 1/8/2013 and was last updated on 10/24/2018.


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
12080P0207XPediatricsPediatric Hematology-OncologyYes

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
1C06778OTHERVIRGINIAGROUP PTAN

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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