Provider Demographics
NPI:1164214755
Name:ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
Entity type:Organization
Organization Name:ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-727-3403
Mailing Address - Street 1:PO BOX 603964
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3964
Mailing Address - Country:US
Mailing Address - Phone:843-789-1726
Mailing Address - Fax:843-402-5289
Practice Address - Street 1:200 CALLEN BLVD STE 110
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-2808
Practice Address - Country:US
Practice Address - Phone:843-724-2289
Practice Address - Fax:843-606-8038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty