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BON SECOURS-VIRGINIA HEALTHSOURCE NPI 1497788798


NPI Information

NPI: 1497788798
Provider Name: BON SECOURS-VIRGINIA HEALTHSOURCE

Doing Business As: WEST END INTERNAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 49D0982032

Address:
7001 FOREST AVE
SUITE 2500
RICHMOND, VA
ZIP 23230
Phone: (804) 282-7857
Get Directions

BON SECOURS-VIRGINIA HEALTHSOURCE is an internal medicine in Richmond, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BON SECOURS-VIRGINIA HEALTHSOURCE NPI is 1497788798. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West End Internal Medicine.

The provider's business location address is:

7001 FOREST AVE
SUITE 2500
RICHMOND, VA
ZIP 23230
Phone: (804) 282-7857
Fax: (804) 282-7899

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 49D0982032 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

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
1CG5286OTHERVIRGINIARAILROAD 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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