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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND INC. NPI 1326379769


NPI Information

NPI: 1326379769
Provider Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Doing Business As: LIVER INSTITUTE OF VIRGINIA - BON SECOURS MEDICAL GROUP

Classification: Internal Medicine - 207RI0008X
Entity Type: Organization

Specialization: Hepatology

CLIA Number: 49D0661212

Address:
12720 MCMANUS BLVD
SUITE 313
NEWPORT NEWS, VA
ZIP 23602
Phone: (757) 947-3190
Get Directions

BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. is a hepatology internal medicine in Newport News, VA. The provider is the discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. NPI is 1326379769. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Liver Institute Of Virginia - Bon Secours Medical Group.

The provider's business location address is:

12720 MCMANUS BLVD
SUITE 313
NEWPORT NEWS, VA
ZIP 23602-414
Phone: (757) 947-3190
Fax: (757) 947-3195

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 49D0661212 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2010 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
1207RI0008XInternal MedicineHepatology0101036976VIRGINIAYes

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
1C06778OTHERVIRGINIAMEDICARE GROUP PIN

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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