BEAUFORT COUNTY MEMORIAL HOSPITAL


Address: 1000 Pine Street West, Varnville, SC 29944-0969
Phone: 8039435228

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
SC GP0365 05
SC RHC013 05

Other Provider/Organization Names

Other Name Type Code
Beaufort Memorial Harrison Peeples Healthcare Center Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities BEAUFORT COUNTY MEMORIAL HOSPITAL 955 Ribaut Rd, Beaufort, SC 29902-5441

Office Location

Street Address 1000 PINE STREET WEST
City VARNVILLE
State SC
Zip Code 29944-0969

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780744946 Hampton Regional Medical Center Clinic/Center 595 W Carolina Ave, Varnville, SC 29944-4735 2006-12-11

Providers in the same taxonomy and state

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
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Competitor

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City VARNVILLE
Zip Code 29944

Improve Information

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Dataset Information

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.

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