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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
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679120828
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
Provider Business Mailing Address
First Line : PO BOX 603957
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-3957
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 : 854-529-3165
Fax Number : 854-529-3057
Authorized Official
Title or Position : VP
Name : BRET D JOHNSON
Credential :
Telephone Number : 843-724-2946
Provider Enumeration Date : 08/22/2019
Last Update Date : 11/27/2023

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Directions to “ROPER ST FRANCIS HOSPITAL-BERKELEY INC. ” Practice Location

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