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
719 N OKATIE HWY
RIDGELAND, SC29936-8276
Phone: 843-987-7400
Fax: 843-987-0197
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Community Health 261QC1500X
Home Health 251E00000X

* Indicates primary specialty

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

NPI Number 1669536470
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 12/19/2006
Last updated 02/28/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 42-1809
  • SC License #: 42-7006
  • SC License #: 450973
  • SC Medicaid: 450973

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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