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DSH490094E RICHMOND COMMUNITY HOSPITAL (Active)
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Main Details
Name
RICHMOND COMMUNITY HOSPITAL
Subdivision Name
Richmond Community Hosp-OP Infusion
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH490094E
Medicare Provider Number
490094
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/15/2015
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Bon Secours Mercy Health
Gregory S Simmons, Site CFO
(804) 248-8731
Primary Contact
Richmond Community Hospital
DeJuan Branch, Director of Pharmacy
(804) 343-6407
Addresses
Street Address
1510 N 28th St
STE 110
Richmond, VA 23223
Billing Address
Bon Secours Richmond Community Hospital
1500 North 28th Street
Richmond, VA 23223
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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