Provider Demographics
NPI:1750025979
Name:BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.
Entity Type:Organization
Organization Name:BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.
Other - Org Name:CHARLESTON ONCOLOGY A DEPARTMENT OF BON SECOURS ST. FRANCIS HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OPS-ACUTE CARE
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:HALE
Authorized Official - Last Name:DESMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-724-2103
Mailing Address - Street 1:PO BOX 751874
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1874
Mailing Address - Country:US
Mailing Address - Phone:843-402-5200
Mailing Address - Fax:843-402-5296
Practice Address - Street 1:302 MEDICAL PARK DR STE 207B
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-5749
Practice Address - Country:US
Practice Address - Phone:843-572-9211
Practice Address - Fax:843-572-0457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty