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DSH490094G RICHMOND COMMUNITY HOSPITAL (Active)
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Main Details
Name
RICHMOND COMMUNITY HOSPITAL
Subdivision Name
Bon Secours Liver Institute of RICH
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH490094G
Medicare Provider Number
490094
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/16/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/15/2017
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
5855 Bremo Rd
MOB North
Suite 509
Richmond, VA 23226
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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