Healthcare Provider Details

I. General information

NPI: 1982583068
Provider Name (Legal Business Name): BON SECOURS ST. FRANCIS XAVIER HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2095 HENRY TECKLENBURG DR
CHARLESTON SC
29414-5733
US

IV. Provider business mailing address

PO BOX 632509
CINCINNATI OH
45263-2509
US

V. Phone/Fax

Practice location:
  • Phone: 843-402-1305
  • Fax: 843-402-1089
Mailing address:
  • Phone: 888-472-0043
  • Fax: 513-653-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: REBECCA A. TUCKER
Title or Position: CFO
Credential:
Phone: 843-203-2265