BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES INC. NPI 1942554886

NPI Information

NPI: 1942554886
Provider Name: BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.

Doing Business As: PORT ROYAL MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1320 RIBAUT RD
PORT ROYAL, SC
ZIP 29935
Phone: (843) 986-0900
Get Directions

BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Port Royal, SC. BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. NPI is 1942554886. The provider is registered as an organization entity type.
The provider Is Doing Business As Port Royal Medical Center.

The provider's business location address is:

1320 RIBAUT RD
PORT ROYAL, SC
ZIP 29935-118
Phone: (843) 986-0900
Fax: (843) 986-0566

The provider's authorized official is Roland J Gardner .
The authorized official title is Chief Executive Officer and has the following contact phone number (843) 987-7400.

The CLIA number assigned to this NPI record is 42D0889221 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/30/2012 and was last updated on 8/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	GP2554	SOUTH CAROLINA	No
2	261QD0000X	Clinic/Center	Dental	295441	SOUTH CAROLINA	No
3	261QM1300X	Clinic/Center	Multi-Specialty	CBP005	SOUTH CAROLINA	No
4	261QM2500X	Clinic/Center	Medical Specialty	FQC102	SOUTH CAROLINA	No
5	261QR0206X	Clinic/Center	Radiology, Mammography			No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	FQC102	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FQC102	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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