Provider Demographics
NPI:1982471884
Name:BON SECOURS CHARLESTON UC LLC
Entity Type:Organization
Organization Name:BON SECOURS CHARLESTON UC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-952-5000
Mailing Address - Street 1:4278 LADSON ROAD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:29485
Mailing Address - Country:US
Mailing Address - Phone:843-203-2240
Mailing Address - Fax:843-203-2241
Practice Address - Street 1:4278 LADSON ROAD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:OH
Practice Address - Zip Code:29485
Practice Address - Country:US
Practice Address - Phone:843-203-2240
Practice Address - Fax:843-203-2241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care