Healthcare Provider Details

I. General information

NPI: 1801866728
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: 04/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 CALHOUN ST RM 2324
CHARLESTON SC
29401-1113
US

IV. Provider business mailing address

316 CALHOUN ST RM 2324
CHARLESTON SC
29401-1113
US

V. Phone/Fax

Practice location:
  • Phone: 843-720-8424
  • Fax: 843-720-8447
Mailing address:
  • Phone: 843-720-8424
  • Fax: 843-720-8447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2830
License Number StateSC

VIII. Authorized Official

Name: LYNN BROWN
Title or Position: NURSE MANAGER
Credential:
Phone: 843-720-8424