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DSH420065V BON SECOURS - ST. FRANCIS XAVIER HOSPITAL (ToBeTerminated)
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Main Details
Name
BON SECOURS - ST. FRANCIS XAVIER HOSPITAL
Subdivision Name
Oncology Clinic Mt Pleasant
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420065V
Medicare Provider Number
420065
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
5/19/2023
Participating Start Date
6/1/2023
Participating Approval Date
6/1/2023
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
3510 N HIGHWAY 17
STE 300
MT PLEASANT, SC 29466-8230
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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