MEDICARE: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315D00000X	Inpatient Hospice	HSP-0606	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2153255	OTHER		AETNA
3	72-80004	OTHER		UNITED HEALTHCARE
4	337451	OTHER	VA	ANTHEM
5	4350	OTHER		CIGNA
6	84464	OTHER		SOUTHERN HEALTH

General Provider Information

NPI Number	:	1194787226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Provider Business Mailing Address
First Line	:	8580 MAGELLAN PKWY
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-1149
Country	:	US
Telephone Number	:	804-627-5462
Fax Number	:	866-449-0896

Provider Business Practice Location Address
First Line	:	8580 MAGELLAN PKWY
Second Line	:	BLDG IV
City	:	RICHMOND
State	:	VA
Zip	:	23227-1149
Country	:	US
Telephone Number	:	804-627-5360
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	STEPHAN QUIRICONI
Credential	:
Telephone Number	:	804-281-8301

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	03/14/2019

Similar Medicare Providers

1528627379 — BON SECOURS MEDICAL GROUP HAMPTON ROADS PRIMARY CARE LLC
Practice Location Address:

8580 MAGELLAN PKWY
RICHMOND, VA
23227-1149

Practice Phone: 804-627-5573
Practice Fax: 866-449-0896

1629637475 — BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC
Practice Location Address:

8580 MAGELLAN PKWY
RICHMOND, VA
23227-1149

Practice Phone: 804-627-5573
Practice Fax: 866-449-0896

1861050635 — BON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC
Practice Location Address:

8580 MAGELLAN PKWY
RICHMOND, VA
23227-1149

Practice Phone: 804-627-5573
Practice Fax: 866-449-0896

1477112225 — BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC
Practice Location Address:

8580 MAGELLAN PKWY
RICHMOND, VA
23227-1149

Practice Phone: 804-627-5573
Practice Fax: 866-449-0896

1083676068 — BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER, INC.
Practice Location Address:

8580 MAGELLAN PKWY BLDG IV
RICHMOND, VA
23227-1149

Practice Phone: 804-627-5200
Practice Fax: 804-627-5196

1346276417 — DR. JENNIE WEBB-WRIGHT M.D.
Practice Location Address:

8580 MAGELLAN PKWY , BUILDING IV
RICHMOND, VA
23227-1149

Practice Phone: 804-627-5291
Practice Fax: 804-627-5370

Directions to “BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.