BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. (NPI# 1346741667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346741667 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. |
| Other Organization Name | BON SECOURS SHORT PUMP EMERGENCY CENTER |
| Practice Address |
12320 W Broad St Ste 100 Richmond VA 23233 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8042877994 |
| Practice Fax Number | 8042858327 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | STEPHAN QUIRCONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bon Secours Short Pump Emergency Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360503 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 | 2019-11-08 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1255776290 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 2401 W Leigh Street, Richmond, VA 23220-1328 | 2013-05-03 |
| 1639430093 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Psychologist | 5855 Bremo Rd Ste 404, Mob North, Richmond, VA 23226-1924 | 2012-06-01 |
| 1548529126 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2012-05-16 |
| 1508125386 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 | 2012-05-14 |
| 1013280544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5875 Bremo Rd Ste G11, Mob South, Richmond, VA 23226-1934 | 2012-02-14 |
| 1265736680 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5855 Bremo Rd Ste 703, Richmond, VA 23226-1926 | 2010-12-28 |
| 1548596638 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 13520 Hull Street Rd, Midlothian, VA 23112-2107 | 2009-10-23 |
| Street Address |
12320 W BROAD ST STE 100 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| 1851805691 | Robert Tyler Dodson | Physical Therapist | 3514 Mayland Court Richmond, Virginia 23233, Richmond, VA 23233 | 2017-11-30 |
| Find all providers in zip 23233 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
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| 1245605138 | Frontline Er | Clinic/Center | 7051 Fm 1464 Rd, Richmond, TX 77407-9542 | 2015-12-03 |
| 1457761231 | Waterside Medical Center LLC | Clinic/Center | 8111 West Grand Parkway S, Richmond, TX 77407 | 2014-05-02 |
| 1750711537 | Hca Health Services of Virginia, Inc. | Clinic/Center | 12720 Tuckahoe Creek Pkwy, Richmond, VA 23238-1121 | 2013-11-15 |
| 1356846869 | Carrus Er Physicians Pllc | Clinic/Center | 8111 W Grand Pkwy S, Richmond, TX 77407-8658 | 2018-03-27 |
| 1417312018 | Frontline Richmond Medical Center LLC | Clinic/Center | 7051 Fm 1464 Rd, Richmond, TX 77407-9542 | 2015-12-23 |
| 1467750885 | Richmond Ep Pllc | Clinic/Center | 7830 W Grand Pkwy S, Richmond, TX 77406-5816 | 2011-03-09 |
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| 1205200599 | Chippenham & Johnston-willis Hospitals, Inc. | Clinic/Center | 14720 Hancock Village Street, Chesterfield, VA 23832 | 2015-11-24 |
| 1407286289 | Reston Hospital Center, LLC | Clinic/Center | 24570 Gum Spring Rd, Dulles, VA 20166-2246 | 2013-11-15 |
| 1972936110 | Virginia Urgent and Emergent Medical Support | Clinic/Center | 9702 Gayton Rd Ste 256, Henrico, VA 23238-4907 | 2013-08-12 |
| 1306120175 | Bon Secours St. Francis Medical Center Inc | Clinic/Center | 601 Watkins Centre Pkwy Ste 100, Midlothian, VA 23114-4412 | 2011-09-28 |
| 1003037227 | Children's National Medical Center | Clinic/Center | 1201 S Eads St, #1808, Arlington, VA 22202-2812 | 2007-05-02 |
| 1588298368 | Virginia Commonwealth University Health System Authority | Clinic/Center | 2495 Pocahontas Trl, Quinton, VA 23141-1637 | 2020-03-02 |
| 1588210108 | Riverside Physician Services Inc | Clinic/Center | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2019-08-12 |
| 1598180044 | Hca Health Service of Virginia, Inc. | Clinic/Center | 9275 Chamberlayne Road, Mechanicsville, VA 23116 | 2014-02-20 |
| Find all providers with the same taxonomy | ||||
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| 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.