Healthcare Provider Details

I. General information

NPI: 1942601448
Provider Name (Legal Business Name): BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2014
Last Update Date: 09/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7324 BELL CREEK RD
MECHANICSVILLE VA
23111-3545
US

IV. Provider business mailing address

6425 GOLDENROD CT
HENRICO VA
23231-5330
US

V. Phone/Fax

Practice location:
  • Phone: 804-281-0275
  • Fax: 804-521-9344
Mailing address:
  • Phone: 804-873-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number0024172055
License Number StateVA

VIII. Authorized Official

Name: MRS. IFE I TORRENCE
Title or Position: NURSE PRACTITIONER
Credential: FNP-C
Phone: 804-873-4444