BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. (NPI# 1598019341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598019341 |
| Entity Type | Organization |
| Organization Name | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. |
| Other Organization Name | ESTILL MEDICAL CENTER |
| Practice Address |
776 2nd St E Estill SC 29918-4926 |
| Mailing Address |
721 N Okatie Hwy # 170 Ridgeland SC 29936-8276 |
| Practice Telephone | 8036252548 |
| Practice Fax Number | 8036252801 |
| Mailing Telephone | 8439877400 |
| Mailing Fax Number | 8439877498 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2016-08-08 |
| Authorized Official Name | MR. ROLAND J GARDNER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8439877400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
GP2554 | SC | Ambulatory Health Care Facilities |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
295441 | SC | Ambulatory Health Care Facilities |
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
FQC101 | SC | Ambulatory Health Care Facilities |
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
CBP005 | SC | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FQC101 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC101 | 05 |
| Other Name | Type Code |
|---|---|
| Estill Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316291172 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 200 Elm St E, Hampton, SC 29924-3430 | 2012-11-01 |
| 1629322466 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 1520 Grays Hwy, Ridgeland, SC 29936-5440 | 2012-11-01 |
| 1720332794 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 552 Stiney Road, Hardeeville, SC 29927-0369 | 2012-10-30 |
| 1427302470 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 6315 Jonathan Francis Sr. Rd., St. Helena Island, SC 29920-5401 | 2012-10-30 |
| 1386652741 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 41 Ball Park Rd, St. Helena Island, SC 29920 | 2006-08-03 |
| 1649276148 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 721 N Okatie Hwy, Ridgeland, SC 29936-8276 | 2005-06-21 |
| 1396125365 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Family Medicine | 721 Okatie Hwy, Ridgeland, SC 29909-3923 | 2015-06-04 |
| 1669726634 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 211 Paige Point Road, Sheldon, SC 29941 | 2012-10-30 |
| 1942554886 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 1320 Ribaut Rd, Port Royal, SC 29935-1118 | 2012-10-30 |
| 1811937642 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 721 N Okatie Hwy, Ridgeland, SC 29936-8276 | 2006-06-08 |
| Street Address |
776 2ND ST E |
| City | ESTILL |
| State | SC |
| Zip Code | 29918-4926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853598 | Katie Pearce | Family Medicine | 776 2nd St E, Estill, SC 29918-4926 | 2018-06-05 |
| 1639684657 | Sara Ashley Mccracken | Nurse Practitioner | 776 2nd St E, Estill, SC 29918-4926 | 2017-12-13 |
| 1952766628 | Ashlyn E Smith | Nurse Practitioner | 776 2nd St E, Estill, SC 29918-4926 | 2015-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689001034 | Earl B Hartzog Dmd Pa | Dentist | 123 Catherine Avenue North, Estill, SC 29918 | 2013-10-01 |
| 1790900249 | Lesters Diabetic Shoe Serv | Durable Medical Equipment & Medical Supplies | 41 Blair Circle, Estill, SC 29918 | 2007-04-17 |
| 1821182452 | Michelle Marie Mckenzie | Optometrist | 2010 Browning Gate Road, Estill, SC 29918 | 2006-10-03 |
| 1538192349 | Hampton County School District 2 | Local Education Agency (LEA) | 319 E 4th Street, Estill, SC 29918 | 2006-07-08 |
| 1033768833 | Tamala Booker Middleton | Nurse Practitioner | 100 Prison Road, Estill, SC 29918 | 2019-09-05 |
| 1932648227 | Amanda Howard | Psychologist | 100 Prison Road, Estill, SC 29918 | 2017-02-20 |
| 1730512005 | Laveda Yolanda Odom | Pharmacist | 100 Prison Rd, Estill, SC 29918 | 2013-08-09 |
| 1285844761 | Zoltan Robert Vendal | Clinic/Center | 100 Prison Rd., Estill, SC 29918 | 2007-05-23 |
| 1124476320 | Latoya Monique Williams | Pharmacist | 136 Martin Luther King Jr. Blvd N, Estill, SC 29918-0335 | 2016-05-27 |
| 1811037633 | David Leroy Barnes Sr. | Dentist | 144 Catherine Street North, Estill, SC 29918-0547 | 2007-02-08 |
| Find all providers in zip 29918 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
| 1063079549 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526-8391 | 2019-05-21 |
| 1043775703 | Rural Health Services Inc | Clinic/Center | 4200 Whiskey Rd, Aiken, SC 29803-8534 | 2019-02-07 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
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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.