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BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER NPI 1730416579


NPI Information

NPI: 1730416579
Provider Name: BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER

Doing Business As: BON SECOURS BEHAVIORAL HEALTH SERVICES

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 49D2295624

Address:
1500 N 28TH ST
3RD FLOOR
RICHMOND, VA
ZIP 23223
Phone: (804) 371-1675
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BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER is a psychiatry psychiatry neurology in Richmond, VA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER NPI is 1730416579. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bon Secours Behavioral Health Services.

The provider's business location address is:

1500 N 28TH ST
3RD FLOOR
RICHMOND, VA
ZIP 23223-332
Phone: (804) 371-1675
Fax: (804) 225-1764

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

The CLIA number assigned to this NPI record is 49D2295624 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2009 and was last updated on 6/9/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryVIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C06115OTHERVIRGINIAGROUP PTAN
2490069MEDICARE OSCAR/CERTIFICATIONVIRGINIA

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: 5/5/2024

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