BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. (NPI# 1669726634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669726634 |
| Entity Type | Organization |
| Organization Name | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. |
| Other Organization Name | ELIJAH WASHINGTON MEDICAL CENTER |
| Practice Address |
211 Paige Point Road Sheldon SC 29941 |
| Mailing Address |
721 N Okatie Hwy # 170 Ridgeland SC 29936-8276 |
| Practice Telephone | 8438468748 |
| Practice Fax Number | 8438468312 |
| Mailing Telephone | 8439877400 |
| Mailing Fax Number | 8439877498 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2016-08-08 |
| Authorized Official Name | MR. ROLAND J GARDNER (CHIEF EXECUTIVE DIRECTOR) |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
CBP005 | SC | Ambulatory Health Care Facilities |
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
FQC100 | SC | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FQC100 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC100 | 05 |
| Other Name | Type Code |
|---|---|
| Elijah Washington 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 |
| 1598019341 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 776 2nd St E, Estill, SC 29918-4926 | 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 |
| 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 |
211 PAIGE POINT ROAD |
| City | SHELDON |
| State | SC |
| Zip Code | 29941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356458251 | Richard Dean Wartick | Pharmacist | 211 Paige Point Road, Sheldon, SC 29941-0008 | 2006-08-24 |
| 1144364845 | Beaufort-jasper-hampton Comprehensive Health Service Inc | Pharmacy | 211 Paige Point Road, Sheldon, SC 29941-0008 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492315 | Ethel B Denmark | Peer Specialist | 211 Paige Point Rd., Sheldon, SC 29941 | 2020-03-13 |
| 1801140553 | Neil Richard Ames | Pharmacist | 211 Paige Point Rd, Sheldon, SC 29941 | 2012-11-02 |
| 1679942452 | Raynell Gibbs | Pharmacist | 211 Paige Point Rd, Sheldon, SC 29941 | 2015-09-22 |
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|---|---|---|---|---|
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| 1154732162 | Kayla Kruger | Physical Therapist | 301 10th St Ste C, Sheldon, IA 51201-1529 | 2014-05-13 |
| Find all providers in SHELDON | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.