Healthcare Provider Details

I. General information

NPI: 1588596605
Provider Name (Legal Business Name): BON SECOURS ST. FRANCIS MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 WATKINS CENTRE PKWY STE 150
MIDLOTHIAN VA
23114-0003
US

IV. Provider business mailing address

601 WATKINS CENTRE PKWY STE 150
MIDLOTHIAN VA
23114-0003
US

V. Phone/Fax

Practice location:
  • Phone: 804-893-8484
  • Fax:
Mailing address:
  • Phone: 804-893-8484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY M RALSTON
Title or Position: VP REIMBURSEMENT
Credential:
Phone: 419-996-5119