BON SECOURS PRIMARY CARE ASSOCIATES - MECHANICSVILLE - NPI 1033577663

Q: What is Bon Secours Memorial Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Bon Secours Primary Care Associates - Mechanicsville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BON SECOURS PRIMARY CARE ASSOCIATES - MECHANICSVILLE (NPI 1033577663) is a healthcare organization registered as a family medicine in Mechanicsville, Virginia and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Stephan F Quiriconi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033577663

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC

Location Address7041 LEE PARK RDMechanicsville, VA 23111-3682

Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · (804) 627-5462 · Fax (866) 449-0896

Phone(804) 746-3505

Fax(804) 730-8038

Organization SubpartNo

Authorized OfficialStephan F QuiriconiCfo · (804) 281-8301

Enumeration DateFebruary 10, 2016

Last NPPES UpdateJuly 10, 20193 updates tracked since enumeration

✔ NPI 1033577663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

7041 LEE PARK RD, Mechanicsville, VA 23111

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Other Names 1

Doing Business AsBon Secours Primary Care Associates - Mechanicsville

Other Identifiers 1

OtherC06115VA · Group Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0226333

Bon Secours Primary Care Associates-Mechanicsville · Mechanicsville, VA

Active · expires Apr 18, 2027

CLIA Number49D0226333

Laboratory TypePhysician Office

Certificate Effective DateApril 19, 2025

Certificate Expiration DateApril 18, 2027

Laboratory DirectorKenneth H. Roberts

Laboratory Phone(804) 746-3505

Laboratory LocationBon Secours Primary Care Associates-Mechanicsville7041 Lee Park Rd, Mechanicsville, VA 23111

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD L OVERMEYER MD

Internal Medicine