| Organization Name: | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. |
| NPI Number: | 1669726634 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROLAND J GARDNER (CHIEF EXECUTIVE DIRECTOR) |
| Mailing Address: | 211 Paige Point Road Sheldon |
| State: | SC US |
| Postal Code: | 29941 |
| Phone Number: | 8438468748 |
| Fax Number: | 8438468312 |
| NPI Enumeration Date: | 10/30/2012 |
| NPI Last Update Date: | 11/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | GP2554 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |