Provider Demographics
NPI:1942601448
Name:BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IFE
Authorized Official - Middle Name:I
Authorized Official - Last Name:TORRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:804-873-4444
Mailing Address - Street 1:6425 GOLDENROD CT
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-5330
Mailing Address - Country:US
Mailing Address - Phone:804-873-4444
Mailing Address - Fax:
Practice Address - Street 1:7324 BELL CREEK RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3545
Practice Address - Country:US
Practice Address - Phone:804-281-0275
Practice Address - Fax:804-521-9344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172055261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center