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BON SECOURS-VIRGINIA HEALTHSOURCE NPI 1285813501


NPI Information

NPI: 1285813501
Provider Name: BON SECOURS-VIRGINIA HEALTHSOURCE

Doing Business As: CARDIOLOGY ASSOCIATES OF CENTRAL VIRGINIA

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 49D0978671

Address:
89 SHERWOOD DR
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 526-3010
Get Directions

BON SECOURS-VIRGINIA HEALTHSOURCE is a cardiovascular disease internal medicine in Colonial Heights, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BON SECOURS-VIRGINIA HEALTHSOURCE NPI is 1285813501. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cardiology Associates Of Central Virginia.

The provider's business location address is:

89 SHERWOOD DR
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 526-3010
Fax: (804) 526-2293

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 49D0978671 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 7/27/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease0101047753VIRGINIAYes

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
11659334373MEDICAIDVIRGINIA

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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