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BON SECOURS ST FRANCIS MEDICAL CENTER LLC NPI 1013143635


NPI Information

NPI: 1013143635
Provider Name: BON SECOURS ST FRANCIS MEDICAL CENTER LLC

Doing Business As: NERUOLOGY CLINIC - BON SECOURS MEDICAL GROUP

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
11601 IRON BRIDGE RD
SUITE 207
CHESTER, VA
ZIP 23831
Phone: (804) 285-6880
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BON SECOURS ST FRANCIS MEDICAL CENTER LLC is a neurology psychiatry neurology in Chester, VA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BON SECOURS ST FRANCIS MEDICAL CENTER LLC NPI is 1013143635. The provider is registered as an organization entity type.
The provider Is Doing Business As Neruology Clinic - Bon Secours Medical Group.

The provider's business location address is:

11601 IRON BRIDGE RD
SUITE 207
CHESTER, VA
ZIP 23831-466
Phone: (804) 285-6880
Fax: (804) 706-1585

The provider's authorized official is Kimberly M Ralston .
The authorized official title is System Director and has the following contact phone number (419) 996-5119.

The enumeration date for this NPI number is 6/10/2009 and was last updated on 5/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization0101235914VIRGINIANo
22084N0400XPsychiatry & NeurologyNeurology0101235914VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C09633OTHERVIRGINIAMEDICARE GROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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