Organization Name: | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. |
NPI Number: | 1942554886 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROLAND J GARDNER (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 1320 Ribaut Rd Port Royal |
State: | SC US |
Postal Code: | 299351118 |
Phone Number: | 8439860900 |
Fax Number: | 8439860566 |
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: |