BON SECOURS-VIRGINIA HEALTHSOURCE NPI 1558379404

NPI Information

NPI: 1558379404
Provider Name: BON SECOURS-VIRGINIA HEALTHSOURCE
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Doing Business As: BON SECOURS HOME INFUSION
Address: 8137 STAPLES MILL RD
RICHMOND, VA
ZIP 23228
Phone: (804) 264-2330

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NPI Details

BON SECOURS-VIRGINIA HEALTHSOURCE is a durable medical equipment medical supplies in Richmond, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BON SECOURS-VIRGINIA HEALTHSOURCE NPI is 1558379404. The provider is registered as an organization entity type.
The provider Is Doing Business As Bon Secours Home Infusion.

The provider's business location address is:

8137 STAPLES MILL RD
RICHMOND, VA
ZIP 23228
Phone: (804) 264-2330
Fax: (804) 264-2360

The provider's authorized official is George Odell Butler .
The authorized official title is Director Of Corp Responsibility and has the following contact phone number (804) 281-0271.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/27/2018.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

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
1	008512663	MEDICAID	VIRGINIA
2	5520622	OTHER	VIRGINIA	AETNA PPO
3	009115781	MEDICAID	VIRGINIA
4	333692	OTHER	VIRGINIA	ANTHEM BCBS OF VA
5	0987250	OTHER	VIRGINIA	AETNA HMO

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: 3/30/2025

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