BEAUFORT COUNTY MEMORIAL HOSPITAL (NPI# 1033175344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033175344 |
Entity Type | Organization |
Organization Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
Other Organization Name | BEAUFORT MEMORIAL HARRISON PEEPLES HEALTHCARE CENTER |
Practice Address |
1000 Pine Street West Varnville SC 29944-0969 |
Practice Telephone | 8039435228 |
Practice Fax Number | 8039434591 |
Mailing Telephone | 8039435228 |
Mailing Fax Number | 8039434591 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2019-11-06 |
Authorized Official Name | MR. EDMOND RUSSELL BAXLEY III (CEO) |
Authorized Official Telephone | 8435225140 |
Is Organization Subpart | Y |
Parent Organization Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | SC | Physician Assistants & Advanced Practice Nursing Providers | |
N | 363L00000X | Nurse Practitioner | SC | Physician Assistants & Advanced Practice Nursing Providers | |
N | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians | |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP0365 | 05 | |
SC | RHC013 | 05 |
Other Name | Type Code |
---|---|
Beaufort Memorial Harrison Peeples Healthcare Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
1619248317 | Beaufort County Memorial Hospital | Specialist | 990 Ribaut Rd Ste 210, Beaufort, SC 29902-8011 | 2012-01-26 |
1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
1346474996 | Beaufort County Memorial Hospital | Specialist | Beaufort Memorial Surgical Specialists, 989 Ribaut Rd, Ste 360, Beaufort, SC 29902-5427 | 2009-05-12 |
1174769764 | Beaufort County Memorial Hospital | Radiology | 989 Ribaut Rd Ste 130, Beaufort, SC 29902 | 2009-01-02 |
1598713117 | Beaufort County Memorial Hospital | Internal Medicine | Beaufort Memorial Primary Care, 989 Ribaut Rd, Ste 260, Beaufort, SC 29902-5499 | 2006-05-05 |
1366436073 | Beaufort County Memorial Hospital | General Acute Care Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2005-09-08 |
1992327845 | Beaufort County Memorial Hospital | Internal Medicine | 4818 Bluffton Pkwy, Bluffton, SC 29910-4602 | 2020-05-14 |
1235552746 | Beaufort County Memorial Hospital | Obstetrics & Gynecology | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2014-02-04 |
1013224989 | Beaufort County Memorial Hospital | Clinic/Center | 989 Ribaut Rd, Ste. 240, Beaufort, SC 29902-5472 | 2010-09-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BEAUFORT COUNTY MEMORIAL HOSPITAL | 955 Ribaut Rd, Beaufort, SC 29902-5441 |
Street Address |
1000 PINE STREET WEST |
City | VARNVILLE |
State | SC |
Zip Code | 29944-0969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497304992 | Lillie Bing | Technician | 200 King Circle, Varnville, SC 29944 | 2019-09-06 |
1578030003 | Kayla Stroble Colson | Registered Nurse | 531 W Carolina Ave, Varnville, SC 29944 | 2018-11-02 |
1427502160 | Earl B Hartzog Dmd Pa | Dentist | 649 West Carolina Ave, Varnville, SC 29944 | 2016-08-11 |
1356740765 | Hampton County Disabilities and Special Needs Board | Day Training, Developmentally Disabled Services | 294 Hampton Road, Varnville, SC 29944 | 2014-08-21 |
1609284199 | Marie Singletary | Respiratory Therapist, Certified | 97 Melody Lane, Hampton, SC 29944 | 2014-07-28 |
1568881118 | Jill Thomas Knight | Registered Nurse | 531 West Caroline Ave, Varnville, SC 29944 | 2014-04-10 |
1578980082 | Gerri Buhler | Registered Nurse | 531 West Carolina Avenue, Varnville, SC 29944 | 2014-03-21 |
1568889079 | Teresa Mccrary | Registered Nurse | 531 West Carolina Ave. West, Varnville, SC 29944 | 2014-03-21 |
1720410657 | Comfort To You | In Home Supportive Care | 33 E. Palmetto Ave, Varnville, SC 29944 | 2013-08-02 |
1376840504 | Hampton Regional Medical Center - Swingbed | Medicare Defined Swing Bed Unit | 595 W. Carolina Ave, Varnville, SC 29944 | 2011-02-24 |
Find all providers in zip 29944 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780744946 | Hampton Regional Medical Center | Clinic/Center | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.