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NPI Code Detail

MEDICARE: ROPER ST FRANCIS HOSPITAL-BERKELEY INC.

MEDICARE: ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician
2282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1336603646
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
Provider Business Mailing Address
First Line : 8536 PALMETTO COMMERCE PKWY STE 205
Second Line : REIMBURSEMENT
City : LADSON
State : SC
Zip : 29456-6700
Country : US
Telephone Number : 843-789-1726
Fax Number : 843-402-5289
Provider Business Practice Location Address
First Line : 100 CALLEN BLVD
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29486-2807
Country : US
Telephone Number : 854-529-3100
Fax Number :
Authorized Official
Title or Position : CFO
Name : REBECCA TUCKER
Credential :
Telephone Number : 843-727-3403
Provider Enumeration Date : 01/31/2019
Last Update Date : 11/10/2025

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