NPIMap

Organization Active NPI

Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Clinic/Center
  • Richmond, VA
National Provider Identifier
1821350323
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
H1833 Issued in VA
Legal business name
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Practice address
6900 Forest Ave
Suite 115
Richmond, VA 23230-1701
Phone
(804) 893-8710
NPI assigned
Jun 11, 2012
Organization subpart
Yes
Parent organization
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
George Odell Butler
Title
Director of Corp Responsibility
Phone
(804) 281-0271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X H1833 VA Primary

Addresses

Primary practice location

6900 Forest Ave
Suite 115
Richmond, VA 23230-1701

Mailing address

6900 Forest Ave
Suite 115
Richmond, VA 23230-1701
Phone (804) 893-8710

Other identifiers 1

IdentifierTypeStateIssuer
1962464016MedicaidVA

Other names 1

  • Bon Secours St. Mary's Hospital Wound Care Center at Reynolds Crossing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours St Marys Hospital of Richmond LLC21 organizations share this tax ID, including this one
Part of
Bon Secours St Marys Hospital of Richmond LLC

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1821350323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 FOREST AVE",
            "address_2": "SUITE 115",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301701",
            "telephone_number": "804-893-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 FOREST AVE",
            "address_2": "SUITE 115",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301701",
            "telephone_number": "804-893-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND INC",
        "enumeration_date": "2012-06-11",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ODELL",
        "authorized_official_title_or_position": "DIRECTOR OF CORP RESPONSIBILITY",
        "authorized_official_telephone_number": "804-281-0271"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "H1833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962464016",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours St. Mary's Hospital Wound Care Center at Reynolds Crossing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours St. Mary's Hospital Wound Care Center at Reynolds Crossing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.