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Contact Information

BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
776 2ND ST E
ESTILL, SC29918-4926
 Phone: 803-625-2548
 Fax: 803-625-2801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Community Health

261QC1500X
 

Dental

261QD0000X
 

Medical Specialty

261QM2500X
Indicates primary specialty

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

NPI # 1598019341
LBN Legal business name BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
Authorized official ROLAND GARDNER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2012
Last updated 08/08/2016 - About 10 years ago
Identifiers
SC License # 295441
SC License # CBP005
SC License # FQC101
SC License # GP2554
SC Medicaid FQC101
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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