BEAUFORT COUNTY MEMORIAL HOSPITAL (NPI# 1619248317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619248317 |
| Entity Type | Organization |
| Organization Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | BEAUFORT MEMORIAL HEALTHLINK |
| Practice Address |
990 Ribaut Rd Ste 210 Beaufort SC 29902-8011 |
| Mailing Address |
955 Ribaut Rd Beaufort SC 29902-5441 |
| Practice Telephone | 8435225900 |
| Practice Fax Number | 8435227311 |
| Mailing Telephone | 8435225200 |
| Mailing Fax Number | 8435225765 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | EDMOND RUSSELL BAXLEY III (CEO) |
| Authorized Official Telephone | 8435225140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BEAUFORT MEMORIAL HEALTHLINK | Other Name - Individual/Organization |
| Healthlink for Children | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31 Innovation Dr, Bluffton, SC 299105159 | 8435227180 | 8437060744 |
| 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 |
| 1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
| 1346474996 | Beaufort County Memorial Hospital | Specialist | Beaufort Memorial Surgical Specialists, 989 Ribaut Rd, Ste 360, Beaufort, SC 29902-5427 | 2009-05-12 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEAUFORT COUNTY MEMORIAL HOSPITAL | 955 Ribaut Rd, Beaufort, SC 29902-5441 |
| Street Address |
990 RIBAUT RD STE 210 |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-8011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605175 | Alison Fluharty | Occupational Therapist | 990 Ribaut Rd Ste 210, Beaufort, SC 29902-8011 | 2020-03-25 |
| 1831733781 | Victoria Tingley | Speech-Language Pathologist | 990 Ribaut Rd Ste 210, Beaufort, SC 29902-8011 | 2019-11-04 |
| 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 Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710363999 | Gravity Physical Therapy, Inc. | Clinic/Center | 2127 Boundary St Ste 18b, Beaufort, SC 29902-3874 | 2015-08-10 |
| 1578803847 | Earthfit Pt LLC | Clinic/Center | 39 Sams Point Rd, Beaufort, SC 29907 | 2013-02-25 |
| 1699019687 | The Body Shoppe Phyiscal Therapy | Clinic/Center | 312 Live Oak St, Beaufort, NC 28516-1910 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
| 1457961963 | Midlands Physical Therapy and Wellness LLC. | Clinic/Center | 115 Pettus Ln, Newberry, SC 29108-7719 | 2020-08-10 |
| 1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
| 1356974067 | Mastering Milestones, LLC | Clinic/Center | 1564 Red Tide Rd, Mount Pleasant, SC 29466-9406 | 2020-02-20 |
| 1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
| 1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
| 1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
| 1841848991 | Holistic Therapeutic Services of Sc LLC | Clinic/Center | 3810 Masters Cir, Florence, SC 29501-8514 | 2019-09-03 |
| 1447806518 | Turner Sports Performance, LLC | Clinic/Center | 407 Long Forest Cir, Anderson, SC 29625-1103 | 2019-08-14 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
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| 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.