BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED


Address: 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231
Phone: 8042264637

BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED (NPI# 1255586277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255586277
Entity Type Organization
Organization Name BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED
Other Organization Name BON SECOURS LABURNUM DIAGNOSTIC CENTER
Practice Address 4630 S. Laburnum Ave.
Suite C
Richmond
VA 23231
Mailing Address 4630 S Laburnum Ave
Suite C
Richmond
VA 23231-2424
Practice Telephone 8042264637
Practice Fax Number 8042227551
Mailing Telephone 8042264637
Mailing Fax Number 8042227551
Enumeration Date 2008-11-18
Last Update Date 2018-08-10
Authorized Official Name GEORGE ODELL BUTLER (DIRECTOR OF CORP RESPONSIBILITY)
Authorized Official Telephone 8042810271
Is Organization Subpart Y
Parent Organization Name BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
H1832 VA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Bon Secours Laburnum Diagnostic Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265922314 Bon Secours - Richmond Community Hospital, Incorporated Pediatrics 4744 Finlay St, Richmond, VA 23231 2018-05-15
1306462122 Bon Secours - Richmond Community Hospital, Incorporated Psychiatry & Neurology 11601 Iron Bridge Rd Ste 207, Chester, VA 23831-1468 2020-06-17
1841787868 Bon Secours - Richmond Community Hospital, Incorporated Internal Medicine 9602 Patterson Ave, Richmond, VA 23229 2018-04-16
1255889648 Bon Secours - Richmond Community Hospital, Incorporated Internal Medicine 5855 Bremo Rd, Suite 509, Richmond, VA 23226 2016-09-14
1932654886 Bon Secours - Richmond Community Hospital, Incorporated Obstetrics & Gynecology 5875 Bremo Rd, Suite G-7, Richmond, VA 23226 2016-08-22
1437502994 Bon Secours - Richmond Community Hospital, Incorporated Pediatrics 5855 Bremo Rd, Suite 605, Richmond, VA 23226 2016-07-20
1235582818 Bon Secours - Richmond Community Hospital, Incorporated Internal Medicine 5875 Bremo Rd, Suite 209, Richmond, VA 23226 2016-07-19
1174853287 Bon Secours - Richmond Community Hospital, Incorporated Internal Medicine 304 E Leigh St, Suite 300, Richmond, VA 23219 2010-01-12

Office Location

Street Address 4630 S. LABURNUM AVE.
SUITE C
City RICHMOND
State VA
Zip Code 23231

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114524766 Latoya Steward Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 805 Admiral Gravely Blvd, Richmond, VA 23231 2020-10-07
1548721160 Ray E Hill Jr. Non-emergency Medical Transport (VAN) 9469 Barrett Pl, Richmond, VA 23231 2019-03-27
1265922314 Bon Secours - Richmond Community Hospital, Incorporated Pediatrics 4744 Finlay St, Richmond, VA 23231 2018-05-15
1225371743 Vantage Point Community Supports, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8005 Diamond Ridge Court, Henrico, VA 23231 2013-04-03
1407050982 Tawana Toneke Olds-davis Counselor 4305 Hillbrook Ave, Richmond, VA 23231 2007-06-11
1891814844 East End Pediatrics, P.C. Pediatrics 4744 Finlay Street, Richmond, VA 23231 2007-03-29
1235229113 Aunt Anns Home for Adolescents Counselor 5901 Almond Creek N Lane, Richmond, VA 23231 2006-10-13
1962500421 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 2006-09-20
1043243546 Bon Secours-virginia Healthsource Family Medicine 4835 S Laburnum Ave, Richmond, VA 23231 2006-07-08
1164960282 Susanne Shulleeta Pharmacist 2708 Williamsburg Rd, Richmond, VA 23231 2017-02-09
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346898897 Viva Richmond LLC Clinic/Center 6600 W Broad St Ste 200b, Richmond, VA 23230-1709 2019-08-28
1710476668 Reid Physician Associates, Inc. Clinic/Center 1350 Chester Blvd Ste E, Richmond, IN 47374-1959 2018-05-07
1215438544 Bon Secours-st. Mary's Hospital of Richmond, Inc. Clinic/Center 12320 W Broad St Ste 100a, Richmond, VA 23233 2018-02-22
1447538558 Medarva Imaging Clinic/Center 1630 Wilkes Ridge Pkwy Ste 100, Richmond, VA 23233-7460 2011-07-25
1447555115 Bon Secours-virginia Healthsource, Inc. Clinic/Center 7110 Forest Ave Ste 100, Richmond, VA 23226-3762 2011-01-11
1356646004 Bon Secours-virginia Healthsource, Inc. Clinic/Center 11525 Midlothian Tpke Ste 103, Richmond, VA 23235-4763 2011-01-11
1215047964 Ri, Lp Clinic/Center 8013 Midlothian Tpke, Richmond, VA 23235-5278 2006-08-30
1841657533 Bon Secours-st. Mary's Hospital of Richmond, Inc. Clinic/Center 2201 Grove Ave, Richmond, VA 23220-4438 2016-01-26
1104179308 Saint Joseph Health System, Inc Clinic/Center 103 Alycia Dr, Richmond, KY 40475-2368 2012-10-25
1316015985 Broad 64 Imaging LLC Clinic/Center 6605 W Broad St, Suite B - Ground Floor, Richmond, VA 23230 2006-12-01
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Competitor

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City RICHMOND
Zip Code 23231

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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