National Provider Identifier Database

BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
200 ELM ST E
HAMPTON, SC29924-3430
Phone: 803-943-2233
Fax: 803-943-0268
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Community Health 261QC1500X
Dental 261QD0000X
Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.

NPI Number 1316291172
Legal business name
LBN
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
Authorized official ROLAND GARDNER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 11/01/2012
Last updated 08/08/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 295441
  • SC License #: CBP005
  • SC License #: FQC103
  • SC License #: GP2554
  • SC Medicaid: FQC103

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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