BEAUFORT COUNTY MEMORIAL HOSPITAL NPI 1336180165

NPI Information

NPI: 1336180165
Provider Name: BEAUFORT COUNTY MEMORIAL HOSPITAL

Other Name: BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP
300 MIDTOWN
BEAUFORT, SC
ZIP 29906
Phone: (843) 770-0404
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BEAUFORT COUNTY MEMORIAL HOSPITAL is a general practice in Beaufort, SC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BEAUFORT COUNTY MEMORIAL HOSPITAL NPI is 1336180165. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Beaufort Memorial Lowcountry Medical Group.

The provider's business location address is:

BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP
300 MIDTOWN
BEAUFORT, SC
ZIP 29906-200
Phone: (843) 770-0404
Fax: (844) 296-2308

The provider's authorized official is Edmund Russell Baxley .
The authorized official title is Ceo and has the following contact phone number (843) 522-5140.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 12/18/2023.

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	208D00000X	General Practice				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	270920	MEDICAID	SOUTH CAROLINA
2	101376	MEDICAID	SOUTH CAROLINA
3	3257	OTHER		MEDICARE ID-TYPE UNSPECIFIED MEDICARE PART B
4	GP6561	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

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