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RRC420065-08 BON SECOURS ST. FRANCIS XAVIER HOSPI (Approved)
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Main Details
Name
BON SECOURS ST. FRANCIS XAVIER HOSPI
Subdivision Name
ST FRANCIS HOSP PAIN MANAGEMENT EAST - WA RSFH PAIN MANAGEMENT
Type
Rural Referral Center
Rural
No
340B ID
RRC420065-08
Medicare Provider Number
420065
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/22/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/25/2025
Last Recertification Date
Contacts
Authorizing Official
Roper St Francis Healthcare
Rebecca Ann Tucker, SVP, Chief Financial Officer
(843) 727-3403
Primary Contact
Bon Secours Saint Francis Hospital
Louis Glavinos, 340B Pharmacy Manager and Oncology Outpatient Pharmacy Infusion Manager
(843) 402-1675
Addresses
Street Address
2093 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Billing Address
BON SECOURS ST FRANCIS XAVIER HOSPITAL
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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