Healthcare Provider Details

I. General information

NPI: 1750025979
Provider Name (Legal Business Name): BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 MEDICAL PARK DR STE 207B
WALTERBORO SC
29488-5749
US

IV. Provider business mailing address

PO BOX 632509
CINCINNATI OH
45263-2509
US

V. Phone/Fax

Practice location:
  • Phone: 843-572-9211
  • Fax: 843-572-0457
Mailing address:
  • Phone: 888-472-0043
  • Fax: 513-653-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW HALE DESMOND
Title or Position: VP OPS-ACUTE CARE
Credential:
Phone: 843-724-2103