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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
1367500000XCertified Registered Nurse AnesthetistSC
2207L00000XAnesthesiology PhysicianSC

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 : 1871035956
Entity Type Code : Organization
Provider Name (Legal Business Name) : BON SECOURS ST. FRANCIS XAVIER HOSPITAL, INC.
Provider Business Mailing Address
First Line : PO BOX 632509
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-2509
Country : US
Telephone Number : 803-765-1838
Fax Number : 803-765-1732
Provider Business Practice Location Address
First Line : 2095 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5733
Country : US
Telephone Number : 843-402-1436
Fax Number : 843-402-1833
Authorized Official
Title or Position : SVP, CHIEF FINANCIAL OFFICER
Name : REBECCA TUCKER
Credential :
Telephone Number : 843-203-2265
Provider Enumeration Date : 11/07/2016
Last Update Date : 04/15/2026

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