Provider Demographics
NPI:1134374978
Name:RICHMOND EMERGENCY PHYSICIANS, INC.
Entity type:Organization
Organization Name:RICHMOND EMERGENCY PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:COLE
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-287-7066
Mailing Address - Street 1:5801 BREMO ROAD
Mailing Address - Street 2:C/O ST. MARY'S HOSPITAL EMERGENCY DEPT.
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1907
Mailing Address - Country:US
Mailing Address - Phone:804-287-7066
Mailing Address - Fax:
Practice Address - Street 1:5801 BREMO ROAD
Practice Address - Street 2:C/O ST. MARY'S HOSPITAL EMERGENCY DEPT.
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1907
Practice Address - Country:US
Practice Address - Phone:804-287-7066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty