Beaufort Jasper Hampton Comprehensive Health Services, Inc. is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Estill, South Carolina. The current practice location for Beaufort Jasper Hampton Comprehensive Health Services, Inc. is 776 2nd St E, Estill, South Carolina. For appointments, you can reach them via phone at
(803) 625-2548. The mailing address for Beaufort Jasper Hampton Comprehensive Health Services, Inc. is 721 N Okatie Hwy # 170, Ridgeland, South Carolina and phone number is (843) 987-7400.
Beaufort Jasper Hampton Comprehensive Health Services, Inc. is licensed to practice in South Carolina (license number FQC101) and its
NPI number is 1598019341. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(803) 625-2548.
Primary Care Clinic Profile
| Full Name | Beaufort Jasper Hampton Comprehensive Health Services, Inc. |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 776 2nd St E, Estill, South Carolina |
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| Authorized Official Name and Position | Roland J Gardner (CHIEF EXECUTIVE OFFICER) |
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| Authorized Official Contact | 8439877400 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Beaufort Jasper Hampton Comprehensive Health Services, Inc.
721 N Okatie Hwy # 170
Ridgeland
SC 29936-8276
Ph: (843) 987-7400 | Beaufort Jasper Hampton Comprehensive Health Services, Inc.
776 2nd St E
Estill
SC 29918-4926
Ph: (803) 625-2548 |
NPI Details:
| NPI Number | 1598019341 |
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| Provider Enumeration Date | 11/01/2012 |
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| Last Update Date | 08/08/2016 |
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Medical Identifiers
Medical identifiers for Beaufort Jasper Hampton Comprehensive Health Services, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598019341 | NPI | - | NPPES |
| FQC101 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QC1500X | Clinic/center - Community Health | GP2554 (South Carolina) | Secondary |
| 261QD0000X | Clinic/center - Dental | 295441 (South Carolina) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | FQC101 (South Carolina) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | CBP005 (South Carolina) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | FQC101 (South Carolina) | Primary |
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