Healthcare Provider Details

I. General information

NPI: 1932654886
Provider Name (Legal Business Name): BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5875 BREMO RD STE G7
RICHMOND VA
23226-1934
US

IV. Provider business mailing address

PO BOX 639992
CINCINNATI OH
45263-9992
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-8900
  • Fax: 804-282-9460
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM KUSNIERZ
Title or Position: CFO
Credential:
Phone: 864-282-4993