Provider Demographics
NPI:1336603646
Name:ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
Entity Type:Organization
Organization Name:ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP & SYSTEM CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRET
Authorized Official - Middle Name:D
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-724-2946
Mailing Address - Street 1:8536 PALMETTO COMMERCE PKWY STE 205
Mailing Address - Street 2:REIMBURSEMENT
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-6700
Mailing Address - Country:US
Mailing Address - Phone:843-789-1726
Mailing Address - Fax:843-402-5289
Practice Address - Street 1:100 CALLEN BLVD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-2807
Practice Address - Country:US
Practice Address - Phone:843-529-3002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital