Bon Secours - Richmond Community Hospital, Incorporated

NPI #1255586277 in Richmond, Virginia

Provider Information

NPI Number: 1255586277
Entity Type: Organization
Organization Name: Bon Secours - Richmond Community Hospital, Incorporated
Subpart: Yes (part of a larger organization)
Parent Organization: BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Nov 18, 2008
Last Updated: Aug 10, 2018

Practice Location

Address: 4630 S. LABURNUM AVE.
Address 2: SUITE C
City: Richmond
State: Virginia
ZIP Code: 23231
Phone: (804) 226-4637

Authorized Official

Name: GEORGE ODELL BUTLER
Title: DIRECTOR OF CORP RESPONSIBILITY
Phone: (804) 281-0271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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