Bon Secours St Francis Medical Center LLC
Organization Active NPI Neurology Physician · Chester, VA
NPI 1013143635 · NPPES record last updated May 5, 2022
Key facts
- NPI
- 1013143635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 0101235914 (VA)
- Legal business name
- BON SECOURS ST FRANCIS MEDICAL CENTER LLC
- Practice address
- 11601 Iron Bridge Rd
Suite 207
Chester, VA 23831-1466 - Phone
- (804) 285-6880
- Fax
- (804) 706-1585
- NPI assigned
- Jun 10, 2009
- Organization subpart
- No
Authorized official
- Name
- Kimberly M Ralston
- Title
- System Director
- Phone
- (419) 996-5119
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Bon Secours - St Francis Medical Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | 0101235914 | VA | Yes |
| Preferred Provider Organization | 305R00000X | 0101235914 | VA |
Addresses
Primary practice location
11601 Iron Bridge Rd
Suite 207
Chester, VA 23831-1466
Mailing address
8580 Magellan Pkwy
Richmond, VA 23227-1149
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09633 | Other | VA | MEDICARE GROUP PTAN |
Other names
- Neruology Clinic - Bon Secours Medical Group
Other providers in Chester, VA
- Blossom Heart Behavioral Health Services LLC
- Michon Blowe
- Edward Kwodwo Boakye
- Jamielynn M Bodman
- Anastasia Dimitria Bogachov
- Bon Secours St Francis Medical Center LLC
- Bon Secours St. Francis Medical Center Inc
- Bon Secours St. Francis Medical Center LLC
- Bon Secours St. Francis Medical Center, Inc.
- Bon Secours-Richmond Community Hospital LLC
All providers in Chester, VA · Neurology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.