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DSH420065D BON SECOURS - ST. FRANCIS XAVIER HOSPITAL (ToBeTerminated)
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Main Details
Name
BON SECOURS - ST. FRANCIS XAVIER HOSPITAL
Subdivision Name
Breast Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420065D
Medicare Provider Number
420065
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
7/10/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/12/2017
Last Recertification Date
8/18/2024
Termination Date
Termination Reason
7/1/2025
Change of covered entity type
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
2145 HENRY TECKLENBURG DR
SUITE 130
CHARLESTON, SC 29414-5733
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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April 2025
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