Bon Secours Ambulatory Services LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BON SECOURS AMBULATORY SERVICES LLC

Practice address

9851 Brook Rd
Glen Allen, VA 23059-4559

Phone

(804) 893-8702

Fax

(804) 261-2160

NPI assigned

Jan 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Ralson

Title

System Director

Phone

(419) 996-5119

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1346662343",
    "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": "9851 BROOK RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594559",
            "telephone_number": "804-893-8702",
            "fax_number": "804-261-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS AMBULATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "RALSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bodyworks Physical Therapy and Rehabilitation
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• Melanie Parham Boggs, MD
• Madison K Bollinger
• Larry Glenn Bolyard Jr.
• Bon Secours Memorial Regional Medical Center LLC
• Bon Secours Urgent Care LLC
• Bon Secours Virginia Medical Group I, LLC
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

• Urgent Care Clinic/Center in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Urgent Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.