BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Hospice, Inpatient
Richmond, Virginia
Provider NPI: 1194787226
Organization Information:Organization Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Practice Location:
8580 MAGELLAN PKWY BLDG IV RICHMOND, VA 23227 US
Tel: 804-627-5360 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
8580 MAGELLAN PKWY BLDG IV RICHMOND, VA 23227 US
Tel: 804-627-5360 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315D00000X | Nursing & Custodial Care Facilities Hospice, Inpatient | VA | HSP-0606 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
004910281 | VA | 05 | |
CIGNA | 4350 | 01 | |
UNITED HEALTHCARE | 72-80004 | 01 | |
ANTHEM | 337451 | VA | 01 |
AETNA | 2153255 | 01 | |
SOUTHERN HEALTH | 84464 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin