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NPI Code Detail

MEDICARE: BON SECOURS ST. FRANCIS XAVIER HOSPITAL INC.

MEDICARE: BON SECOURS ST. FRANCIS XAVIER HOSPITAL 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 HospitalHTL-750SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DPE004OTHERSCDTC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851361778
Entity Type Code : Organization
Provider Name (Legal Business Name) : BON SECOURS ST. FRANCIS XAVIER HOSPITAL INC.
Provider Business Mailing Address
First Line : PO BOX 751874
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1874
Country : US
Telephone Number : 513-603-1538
Fax Number :
Provider Business Practice Location Address
First Line : 2095 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5733
Country : US
Telephone Number : 843-402-1006
Fax Number : 843-402-1945
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. BRET JOHNSON
Credential :
Telephone Number : 843-724-2946
Provider Enumeration Date : 01/24/2006
Last Update Date : 02/05/2026

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