Provider Demographics
NPI:1255645644
Name:ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL
Entity type:Organization
Organization Name:ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-724-2954
Mailing Address - Street 1:3500 HIGHWAY 17 N
Mailing Address - Street 2:STE. 200, C/O MOUNT PLEASANT HOSPITAL - MEDICAL OFFICES
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-9123
Mailing Address - Country:US
Mailing Address - Phone:843-724-2954
Mailing Address - Fax:843-881-3070
Practice Address - Street 1:3500 HIGHWAY 17 N
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-9123
Practice Address - Country:US
Practice Address - Phone:843-724-2954
Practice Address - Fax:843-881-3070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHTL-0909282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
420104Medicare Oscar/Certification