BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC NPI 1518102235

NPI Information

NPI: 1518102235
Provider Name: BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC

Doing Business As: CARDIOVASCULAR ASSOCIATES OF VIRGINIA - BON SECOURS MEDICAL GROUP

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
7001 FOREST AVE
SUITE 200
RICHMOND, VA
ZIP 23230
Phone: (804) 288-3123
Get Directions

BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC is a cardiovascular disease internal medicine in Richmond, 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 ST MARY'S HOSPITAL OF RICHMOND LLC NPI is 1518102235. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardiovascular Associates Of Virginia - Bon Secours Medical Group.

The provider's business location address is:

7001 FOREST AVE
SUITE 200
RICHMOND, VA
ZIP 23230-726
Phone: (804) 288-3123
Fax: (804) 282-3322

The provider's authorized official is Kimberly M Ralston .
The authorized official title is System Director and has the following contact phone number (419) 996-5119.

The CLIA number assigned to this NPI record is 49D0985979 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2008 and was last updated on 10/5/2021.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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
1	C09462	OTHER	VIRGINIA	GROUP 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

NPI Synchronization or Removal

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