1649587270 NPI number — ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649587270 NPI number — ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MOUNT PLEASANT HOSPITAL ER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649587270
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3500 HIGHWAY 17 N
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
MOUNT PLEASANT
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29466-9123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-724-2954
Provider Business Mailing Address Fax Number:
843-881-3070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3500 HIGHWAY 17 N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT PLEASANT
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-724-2954
Provider Business Practice Location Address Fax Number:
843-881-3070
Provider Enumeration Date:
09/02/2010

Additional Information

Authorized Official

Authorized Official Last Name:
JACKSON
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
ANTHONY
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
843-724-2954

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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