Basic Information
| Provider Information | |||||||||
| NPI: | 1386652741 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1486 | ||||||||
| Address2: | |||||||||
| City: | BEAUFORT | ||||||||
| State: | SC | ||||||||
| PostalCode: | 299011486 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8435244250 | ||||||||
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| Practice Location | |||||||||
| Address1: | 41 BALL PARK RD | ||||||||
| Address2: | |||||||||
| City: | ST. HELENA ISLAND | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29920 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8438382086 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | GARDNER | ||||||||
| AuthorizedOfficialFirstName: | ROLAND | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8439877400 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.