NAVAL HOSPITAL BEAUFORT (NPI# 1811309339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811309339 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL BEAUFORT |
| Practice Address |
1 Pinckney Blvd Naval Hospital Beaufort Beaufort SC 29902 |
| Mailing Address |
Naval Hospital Co Rosemary Livingston 1 Pinckney Blvd Beaufort SC 29902 |
| Practice Telephone | 8432285407 |
| Practice Fax Number | 8432285272 |
| Mailing Telephone | 8432285407 |
| Mailing Fax Number | 8432285272 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL BEAUFORT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2145957 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306945563 | Naval Hospital Beaufort | Military/U.S. Coast Guard Pharmacy | Bldg 669, Parris Island, SC 29905 | 2006-09-22 |
| 1659405496 | Naval Hospital Beaufort | Military Hospital | 1 Pinckney Blvd, Pharmacy Dept, Beaufort, SC 29902-6122 | 2007-03-15 |
| 1881793040 | Naval Hospital Beaufort | Military/U.S. Coast Guard Pharmacy | 1 Pinckney Blvd, Bldg 1, Beaufort, SC 29902 | 2006-09-22 |
| 1215036470 | Naval Hospital Beaufort | Military/U.S. Coast Guard Pharmacy | Bldg 598, Beaufort, SC 29902 | 2006-09-22 |
| 1194784934 | Naval Hospital Beaufort | Military Hospital | 1 Pinckney Blvd, Box 6086-b, Beaufort, SC 29902-6122 | 2006-03-21 |
| Street Address |
1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352643 | Terry Lynn Elliott | Family Medicine | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2005-08-10 |
| 1366042327 | Selena Damiano | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-10-29 |
| 1023620150 | Duy Thien Vinh Truong | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-08-19 |
| 1366060071 | Christopher Taylor Davis | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-09 |
| 1942828884 | Abraham Kim | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-07 |
| 1205468907 | Maurice Jones | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-02-10 |
| 1629610134 | Alicia Lynn Weaver | Dietitian, Registered | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-16 |
| 1710529995 | Jules C Martowski | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-09 |
| 1053968784 | John Claiborne Millar | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-19 |
| 1043866049 | Celeste Roberts | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-15 |
| Find all providers in the same location | ||||
| 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 | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881793040 | Naval Hospital Beaufort | Military/U.S. Coast Guard Pharmacy | 1 Pinckney Blvd, Bldg 1, Beaufort, SC 29902 | 2006-09-22 |
| 1215036470 | Naval Hospital Beaufort | Military/U.S. Coast Guard Pharmacy | Bldg 598, Beaufort, SC 29902 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669877064 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1021 Pinnacle Point Dr Ste 200, Columbia, SC 29223-5740 | 2014-10-28 |
| 1114332368 | 628 Medical Group | Military/U.S. Coast Guard Pharmacy | 204 W Hill Blvd Bldg 364, Charleston Afb, SC 29404-4704 | 2014-06-26 |
| 1306945563 | Naval Hospital Beaufort | Military/U.S. Coast Guard Pharmacy | Bldg 669, Parris Island, SC 29905 | 2006-09-22 |
| 1235238411 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 4500, Stuart Street, Ft Jackson, SC 29207 | 2006-09-22 |
| 1043319213 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 4575, Marion Ave, Ft Jackson, SC 29207 | 2006-09-22 |
| 1881793057 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 4716, Commissary Rd, Ft Jackson, SC 29207 | 2006-09-22 |
| 1760581946 | 20th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | 515 Exchange St, Bldg 1448, Shaw Afb, SC 29152-5033 | 2006-09-22 |
| 1881009033 | 20th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 431 Meadowlark St, Shaw Afb, SC 29152-5019 | 2014-06-26 |
| 1073802807 | Moncrief Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 4500 Stuart Ave, Columbia, SC 29207-5700 | 2011-04-01 |
| 1972602134 | 628 Medical Group | Military/U.S. Coast Guard Pharmacy | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2006-09-22 |
| 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.