Healthcare Provider Details

I. General information

NPI: 1396671251
Provider Name (Legal Business Name): ROPER SAINT FRANCIS PHYSICIANS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 UNIVERSITY BLVD BLDG 201
N CHARLESTON SC
29406-9121
US

IV. Provider business mailing address

PO BOX 632516
CINCINNATI OH
45263-2516
US

V. Phone/Fax

Practice location:
  • Phone: 843-402-2472
  • Fax: 843-203-2284
Mailing address:
  • Phone: 888-472-0043
  • Fax: 515-653-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT RALPH OLIVERIO JR.
Title or Position: VP
Credential:
Phone: 843-789-1665