Organization
BON SECOURS ST. FRANCIS XAVIER HOSPITAL INC.
Active
Other names
Roper St. Francis Intensivist Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET JOHNSON (CHIEF FINANCIAL OFFICER)
(843) 724-2946
Entity
Organization
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1006
(843) 402-1945
Mailing address
PO BOX 751874, CHARLOTTE, NC 28275-1874
(513) 603-1538
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
282N00000X
General Acute Care Hospital
Primary
HTL-750
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381885
OUTPATIENT MEDICAID
SC
05
—
412885
—
SC
01
—
DPE004
DTC
SC
Enumeration date
01/24/2006
Last updated
02/05/2026
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