BEAUFORT COUNTY MEMORIAL HOSPITAL


Address: Beaufort Memorial Surgical Specialists, 989 Ribaut Rd, Ste 360, Beaufort, SC 29902-5427
Phone: 8435248171

BEAUFORT COUNTY MEMORIAL HOSPITAL (NPI# 1346474996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346474996
Entity Type Organization
Organization Name BEAUFORT COUNTY MEMORIAL HOSPITAL
Other Organization Name BEAUFORT MEMORIAL SURGICAL SPECIALIST
Practice Address Beaufort Memorial Surgical Specialists
989 Ribaut Rd, Ste 360
Beaufort
SC 29902-5427
Mailing Address 955 Ribaut Road
Bmac Credentialing Coordinator
Beaufort
SC 29902-5441
Practice Telephone 8435248171
Practice Fax Number 8442962307
Mailing Telephone 8435225674
Mailing Fax Number 8435225678
Enumeration Date 2009-05-12
Last Update Date 2020-10-21
Authorized Official Name MR. EDMOND RUSSELL BAXLEY III (CEO)
Authorized Official Telephone 8435225140
Is Organization Subpart Y
Parent Organization Name BEAUFORT COUNTY MEMORIAL HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC US DEPT OF LABOR 155666800 01
SC CLIA 42D0957596 01
SC BCBSSC 1346474996 01
SC GP8668 05

Other Provider/Organization Names

Other Name Type Code
Beaufort Memorial Surgical Specialist Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1055 Ribaut Rd, Suite 30, Beaufort, SC 299025423 8435248171 8435256613
989 Ribaut Rd Ste 360, Beaufort, SC 299025427 8435248171 8442962307
Beaufort Memorial Surgical Specialists, 11 Arley Way, Ste 201, Bluffton, SC 299104883 8435248171 8442962307
Beaufort Memorial Surgical Specialists, 1680 Ribaut Rd, Port Royal, SC 29935 8435248171 8442962307
Beaufort Memorial Surgical Specialists, 1000 Pine Street West, Varnville, SC 299440969 8435248171 8442962307
Beaufort Memorial Surgical Specialists-bluffton, 122 Okatie Blvd N Ste 302, Okatie, SC 299091003 8435248171
Beaufort Memorial Surgical Specialists-okatie, 122 Okatie Blvd N Ste 300, Okatie, SC 299093750 8435248171 8442962307

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063024578 Beaufort County Memorial Hospital Family Medicine Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 2020-08-18
1619248317 Beaufort County Memorial Hospital Specialist 990 Ribaut Rd Ste 210, Beaufort, SC 29902-8011 2012-01-26
1235430745 Beaufort County Memorial Hospital Internal Medicine 1716 Ribaut Rd, Port Royal, SC 29935-1927 2010-11-15
1174769764 Beaufort County Memorial Hospital Radiology 989 Ribaut Rd Ste 130, Beaufort, SC 29902 2009-01-02
1598713117 Beaufort County Memorial Hospital Internal Medicine Beaufort Memorial Primary Care, 989 Ribaut Rd, Ste 260, Beaufort, SC 29902-5499 2006-05-05
1033175344 Beaufort County Memorial Hospital Physician Assistant 1000 Pine Street West, Varnville, SC 29944-0969 2006-04-25
1366436073 Beaufort County Memorial Hospital General Acute Care Hospital 955 Ribaut Rd, Beaufort, SC 29902-5441 2005-09-08
1992327845 Beaufort County Memorial Hospital Internal Medicine 4818 Bluffton Pkwy, Bluffton, SC 29910-4602 2020-05-14
1235552746 Beaufort County Memorial Hospital Obstetrics & Gynecology Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 2014-02-04
1013224989 Beaufort County Memorial Hospital Clinic/Center 989 Ribaut Rd, Ste. 240, Beaufort, SC 29902-5472 2010-09-13

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities BEAUFORT COUNTY MEMORIAL HOSPITAL 955 Ribaut Rd, Beaufort, SC 29902-5441

Office Location

Street Address BEAUFORT MEMORIAL SURGICAL SPECIALISTS
989 RIBAUT RD, STE 360
City BEAUFORT
State SC
Zip Code 29902-5427

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063024578 Beaufort County Memorial Hospital Family Medicine Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 2020-08-18
1750992475 Fayth Polite Social Worker 2210 Salem Drive East, Beaufort, SC 29902 2020-08-14
1417509530 Andrew Grant Miner Dentist Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 2019-07-09
1376029777 Edward Dela Fuente Counselor Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 2018-07-18
1114440419 Kristin Webb Registered Nurse 607 Wilmington Street, Beaufort, SC 29902 2017-07-19
1326582081 Annemarie Gierling Gault Nurse Practitioner Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 2016-12-14
1114396579 Jacquelyn Faith Proulx Dentist 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 2015-09-16
1386028413 Howard Family Dental - Beaufort, Pllc Dentist 35 Robert Smalls Pkwy, Beaufort, SC 29902 2015-07-18
1598018103 Lisa Marie Johnson Occupational Therapist 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 2012-10-19
1134497860 Jeremy Michael Simmons Pharmacist 2127 Boundary Street, Suite 19, Beaufort, SC 29902 2011-12-08
Find all providers in zip 29902

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801217831 Shardae Bartley Specialist 301 Carteret St, Beaufort, SC 29902-5525 2013-12-17
1619248317 Beaufort County Memorial Hospital Specialist 990 Ribaut Rd Ste 210, Beaufort, SC 29902-8011 2012-01-26
1336462894 Cynthia Allison-simpkins Specialist 90 Marsh Dr, Beaufort, SC 29907-1354 2010-03-11
1417008459 Beaufort Gastroenterology Specialist 989 Ribaut Rd Ste 300, Beaufort, SC 29902-5426 2007-01-16
1477618189 Coastal Obstetrics and Gynecology Specialist 13 Marshellen Drive, Beaufort, SC 29902 2006-12-22
1275618332 Palmetto Pain Center Pa Specialist 41 Marshellen Dr, Suite A, Beaufort, SC 29902-6900 2006-10-26
1154365575 Evan C Reese Jr. Specialist 1251 B Ribaut Rd, Beaufort, SC 29902 2006-06-15
1285673327 James A Swenson Specialist Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906-5200 2006-06-05
1205888765 Karen Michelle Eller Specialist 41a Marshellen Dr, Palmetto Pain Pa, Beaufort, SC 29902-6900 2006-05-16
1831175694 Moore Surgical and Women's Healthcare Associates, Pa Specialist 990 Ribaut Rd, Suite 102, Beaufort, SC 29902-5601 2005-12-22
Find all providers in BEAUFORT

Competitor

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City BEAUFORT
Zip Code 29902

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Dataset Information

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.

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