BON SECOURS-VIRGINIA HEALTHSOURCE, INC. (NPI# 1356646004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356646004 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE, INC. |
| Other Organization Name | BON SECOURS MIDLOTHIAN IMAGING CENTER |
| Practice Address |
11525 Midlothian Tpke Ste 103 Richmond VA 23235-4763 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8045942550 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | MR. STEPHAN F QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
1212544 | VA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bon Secours Midlothian Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447555115 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 7110 Forest Ave Ste 100, Richmond, VA 23226-3762 | 2011-01-11 |
| 1518376805 | Bon Secours-virginia Healthsource, Inc. | Radiology | 4900 Cox Rd, Suite 100, Glen Allen, VA 23060-6507 | 2014-08-12 |
| 1063673390 | Bon Secours-virginia Healthsource, Inc. | Internal Medicine | 1510 N 28th St, Suite 204, Richmond, VA 23223 | 2008-06-19 |
| 1588697148 | Bon Secours-virginia Healthsource, Inc. | Family Medicine | 10571 Telegraph Rd, Suite 130, Glen Allen, VA 23059 | 2006-07-08 |
| Street Address |
11525 MIDLOTHIAN TPKE STE 103 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23235-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| 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 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 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 |
| Find all providers in RICHMOND | ||||
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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.