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BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC NPI 1679957948


NPI Information

NPI: 1679957948
Provider Name: BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC

Doing Business As: HANOVER COUNTY AND BON SECOURS GOOD HEALTH CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D2104879

Address:
8200 MEADOWBRIDGE RD STE 301
MECHANICSVILLE, VA
ZIP 23116
Phone: (804) 442-3750
Get Directions

BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC is a family medicine in Mechanicsville, 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 MEMORIAL REGIONAL MEDICAL CENTER INC NPI is 1679957948. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hanover County And Bon Secours Good Health Clinic.

The provider's business location address is:

8200 MEADOWBRIDGE RD STE 301
MECHANICSVILLE, VA
ZIP 23116-337
Phone: (804) 442-3750
Fax: (804) 559-8535

The provider's authorized official is Stephan Quiriconi .
The authorized official title is Cfo and has the following contact phone number (804) 281-8301.

The CLIA number assigned to this NPI record is 49D2104879 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2015 and was last updated on 7/11/2019.


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
1207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C06115OTHERVIRGINIAGROUP 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: 5/5/2024

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