Organization Name: | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC |
NPI Number: | 1669536470 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROLAND J GARDNER (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 721 Okatie Hwy Okatie |
State: | SC US |
Postal Code: | 299093823 |
Phone Number: | 8439877400 |
Fax Number: | 8439870197 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 08/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | 42-7006 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |