Bon Secours Charleston UC LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BON SECOURS CHARLESTON UC LLC

Practice address

4278 Ladson Road
Summerville, OH 29485

Phone

(843) 203-2240

Fax

(843) 203-2241

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Ferrell

Title

VP, Operations

Phone

(513) 952-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1982471884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4278 LADSON ROAD",
            "city": "SUMMERVILLE",
            "state": "OH",
            "postal_code": "29485",
            "telephone_number": "843-203-2240",
            "fax_number": "843-203-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4278 LADSON ROAD",
            "city": "SUMMERVILLE",
            "state": "OH",
            "postal_code": "29485",
            "telephone_number": "843-203-2240",
            "fax_number": "843-203-2241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 N Main St",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294837326",
            "country_code": "US",
            "telephone_number": "843-212-8070",
            "fax_number": "843-212-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5070 International Blvd Ste 131",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294186007",
            "country_code": "US",
            "telephone_number": "843-402-2995",
            "fax_number": "843-402-5054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 Folly Rd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294122518",
            "country_code": "US",
            "telephone_number": "843-203-2246",
            "fax_number": "843-203-2247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 University Blvd",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069116",
            "country_code": "US",
            "telephone_number": "843-203-2245",
            "fax_number": "843-203-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3885 W Ashley Cir Ste F600",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294149273",
            "country_code": "US",
            "telephone_number": "843-402-1360",
            "fax_number": "843-402-3309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BON SECOURS CHARLESTON UC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "513-952-5000"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.