Organization Active NPI

Bon Secours St. Francis Xavier Hospital Inc.

  • General Acute Care Hospital
  • Charleston, SC
National Provider Identifier
1851361778
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HTL-750 Issued in SC
Legal business name
BON SECOURS ST. FRANCIS XAVIER HOSPITAL INC.
Practice address
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone
(843) 402-1006
Fax
(843) 402-1945
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kimberly M Ralston
Title
VP Reimbursement
Phone
(419) 996-5119

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
General Acute Care Hospital 282N00000X HTL-750 SC Primary

Addresses

Primary practice location

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Mailing address

PO Box 632509
Cincinnati, OH 45263-2509
Phone (843) 402-1006

Other identifiers 3

IdentifierTypeStateIssuer
DPE004OtherSCDTC
381885OtherSCOUTPATIENT MEDICAID
412885MedicaidSC

Other names 1

  • Roper St. Francis Intensivist Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100901000704 SC Part A Provider - Hospital 8325008717 Practice locations: N Charleston, SC; Mount Pleasant, SC; Charleston, SC; Mt Pleasant, SC; Summerville, SC; North Charleston, SC

Hospital certification: CCN 420065

Legal name
BON SECOURS ST FRANCIS XAVIER HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 1, 1966
Last certification
Aug 3, 2018
Beds
204
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 23, 1998 in SC
Enrollment address
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Bon Secours-St Francis Xavier HospitalCCN 420065
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Chas Thoracic Cardiovas26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rebecca a Tucker Individual Corporate OfficerCfo Aug 12, 2024
Corporate DirectorBoard Member Aug 12, 2024
W-2 Managing EmployeeCfo Aug 12, 2024
Matthew H Desmond Individual Corporate DirectorBoard Member Jan 1, 2022
Megan K Baker Individual Corporate DirectorBoard Member Dec 2, 2023
Rachel Whitney Thomas Individual Corporate DirectorBoard Member Feb 1, 2023
Sarah Tipton Individual Corporate DirectorBoard Member Jul 1, 2019
William Brown Individual Corporate DirectorBoard Member Jul 1, 2017
Jaideep S. Taluja Individual Corporate DirectorBoard Member Nov 1, 2021
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2020 80%
Anne Lutz Individual Corporate DirectorBoard Member Jan 1, 2025
Herbert L Drayton Individual Corporate DirectorBoard Member Jan 1, 2021
Patrick M Duffy Individual Corporate DirectorBoard Member Aug 1, 2019
David T Cook Individual Corporate DirectorBoard Member Jul 1, 2017
Roper St. Francis Healthcare Organization, Charleston, SC Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 31, 1998 80%
Joseph Deleon Individual Corporate DirectorBoard Member Aug 5, 2024
Claudius E Watts Individual Corporate DirectorBoard Member Jan 1, 2024
Marguerite Archie-Hudson Individual Corporate DirectorBoard Member Dec 8, 2022
Rosemary Maree Individual Corporate DirectorBoard Member Sep 24, 2023
Charles F Rivers Individual Corporate DirectorBoard Member Dec 17, 2020
Healthspan Partners Organization, Cincinnati, OH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2020 80%
Medical Society of S.C. Organization, Charleston, SC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 2, 2020 20%
Kimberly M Ralston Individual W-2 Managing EmployeeVP Reimbursement Apr 15, 2005
Daniel Quirk Individual Corporate DirectorBoard Member Dec 8, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 101

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 101

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 51

Affiliated clinicians 1,017

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,017

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1851361778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632509",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632509",
            "telephone_number": "843-402-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145733",
            "telephone_number": "843-402-1006",
            "fax_number": "843-402-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS ST. FRANCIS XAVIER HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "HTL-750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DTC",
            "identifier": "DPE004",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT MEDICAID",
            "identifier": "381885",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412885",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roper St. Francis Intensivist Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.