MEDICARE: BON SECOURS ST FRANCIS MEDICAL CENTER LLC

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	282N00000X	General Acute Care Hospital	H1924	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

General Provider Information

NPI Number	:	1447212592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BON SECOURS ST FRANCIS MEDICAL CENTER LLC

Provider Business Mailing Address
First Line	:	PO BOX 639993
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-9993
Country	:	US
Telephone Number	:
Fax Number	:	866-449-0896

Provider Business Practice Location Address
First Line	:	13710 ST FRANCIS BLVD
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23114-3267
Country	:	US
Telephone Number	:	804-594-7400
Fax Number	:	804-594-7410

Authorized Official
Title or Position	:	SYSTEM DIRECTOR
Name	:	KIMBERLY M RALSTON
Credential	:
Telephone Number	:	419-996-5119

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	05/05/2022

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