Active NPI
Bon Secours-St. Mary's Hospital of Richmond, Inc.
Doing business as Bon Secours Hospice
- Inpatient Hospice
- Richmond, VA
National Provider Identifier
1194787226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Hospice
- License
- HSP-0606
- Legal business name
- BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
- Doing business as
- Bon Secours Hospice
- Practice address
- 8580 Magellan Pkwy
BLDG IV
Richmond, VA 23227-1149 - Phone
- (804) 627-5360
- NPI assigned
- Apr 4, 2006
- Last updated
- Mar 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephan Quiriconi
- Title
- Cfo
- Phone
- (804) 281-8301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Hospice | 315D00000X | HSP-0606 | VA | Primary |
Addresses
Primary practice location
8580 Magellan Pkwy
BLDG IV
Richmond, VA 23227-1149
Mailing address
8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 627-5462
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84464 | Other | SOUTHERN HEALTH | |
| 337451 | Other | VA | ANTHEM |
| 72-80004 | Other | UNITED HEALTHCARE | |
| 004910281 | Medicaid | VA | |
| 2153255 | Other | AETNA | |
| 4350 | Other | CIGNA |
Other names 1
- Bon Secours Hospice
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552521600000",
"number": "1194787226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8580 MAGELLAN PKWY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232271149",
"telephone_number": "804-627-5462",
"fax_number": "866-449-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8580 MAGELLAN PKWY",
"address_2": "BLDG IV",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232271149",
"telephone_number": "804-627-5360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-04",
"last_updated": "2019-03-14",
"status": "A",
"authorized_official_last_name": "QUIRICONI",
"authorized_official_first_name": "STEPHAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "804-281-8301"
},
"taxonomies": [
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": "VA",
"license": "HSP-0606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "84464",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "337451",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "72-80004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004910281",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2153255",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4350",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bon Secours Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bon Secours Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richmond, VA
- Bon Secours-St. Mary's Hospital of Richmond, Inc. (Bon Secours Perinatal Center)
- Bon Secours-St. Mary's Hospital of Richmond, Inc. (Bon Secours Short Pump Primary Care)
- Bon Secours-St. Mary's Hospital of Richmond, Inc. (Bon Secours /UVA Neurointerventional Surgery)
- Bon Secours-St. Mary's Hospital of Richmond, Inc. (Bon Secours Pediatric Intensive Care Unit)
- Bon Secours-St. Mary's Hospital of Richmond, Inc. (The Bon Secours Program for Diabetes Health - St Mary's Hospital)
- Bon Secours-St. Mary's Hospital of Richmond, Inc. (Bon Secours Cure and Care)
- Bon Secours-St. Mary's Hospital of Richmond, Inc. (Bon Secours Pediatric Infectious Disease Clinic)
- Bon Secours-St. Mary's Hospital of Richmond, Inc. (Bon Secours Short Pump - Imaging)
- Bon Secours-St. Mary's Hospital of Richmond, Inc. (Bon Secours Pediatric Hospitalists)
- Bon Secours-St. Mary's Hospital of Richmond, Inc. (Bon Secours Neurosurgery at St. Mary's)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.