OrganizationActive
Bon Secours-St. Mary'S Hospital of Richmond, Inc.
NPI 1124532239 · Primary Care Clinic/Center · Richmond, VA
Provider details
- NPI number
- 1124532239
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephan Quiriconi, Cfo(804) 281-8301
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12320 W Broad St Ste 204
Richmond, VA 23233
Phone: (804) 612-2980
Fax: (804) 762-7102
Approximate (ZIP-level) locationGet directions
Mailing address
8580 Magellan Pkwy
Richmond, VA 23227-1149
Other names (DBA / former)
- Doing business as
- Bon Secours Short Pump Primary Care
Registry dates
- Enumerated
- 2017-11-28
- Last updated
- 2019-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.