Healthcare Provider Details

I. General information

NPI: 1962472860
Provider Name (Legal Business Name): ROPER HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 11/27/2023
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 CALHOUN ST
CHARLESTON SC
29401-1113
US

IV. Provider business mailing address

PO BOX 751662
CHARLOTTE NC
28275-1662
US

V. Phone/Fax

Practice location:
  • Phone: 843-724-2901
  • Fax: 843-724-2995
Mailing address:
  • Phone: 843-724-2901
  • Fax: 843-724-2995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberHTL-063
License Number StateSC

VIII. Authorized Official

Name: MR. BRET JOHNSON
Title or Position: CFO
Credential:
Phone: 843-724-2946