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BON SECOURS DEPAUL MEDICAL CENTER LLC NPI 1619001906


NPI Information

NPI: 1619001906
Provider Name: BON SECOURS DEPAUL MEDICAL CENTER LLC

Doing Business As: DEPAUL MEDICAL ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D1073186

Address:
155 KINGSLEY LN STE 400
NORFOLK, VA
ZIP 23505
Phone: (757) 278-2240
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BON SECOURS DEPAUL MEDICAL CENTER LLC is a family medicine in Norfolk, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BON SECOURS DEPAUL MEDICAL CENTER LLC NPI is 1619001906. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Depaul Medical Associates.

The provider's business location address is:

155 KINGSLEY LN STE 400
NORFOLK, VA
ZIP 23505-629
Phone: (757) 278-2240
Fax: (757) 489-6469

The provider's authorized official is Wilbur Gay .
The authorized official title is Cfo and has the following contact phone number (864) 561-7672.

The CLIA number assigned to this NPI record is 49D1073186 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/16/2007 and was last updated on 9/22/2020.


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 MedicineNo
2207Q00000XFamily MedicineYes

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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