| Beaufort Jasper Hampton Comprehensive Health Services, Inc. | |
| 
					200 Elm St E Hampton SC 29924-3430  | |
| (803) 943-2233 | |
| (803) 943-0268 | 
| Full Name | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 200 Elm St E, Hampton, South Carolina | 
| Authorized Official Name and Position | Roland J Gardner (CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 8439877400 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| 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. 200 Elm St E Hampton SC 29924-3430 Ph: (803) 943-2233  | 
| NPI Number | 1316291172 | 
|---|---|
| Provider Enumeration Date | 11/01/2012 | 
| Last Update Date | 08/08/2016 | 
| Medicare PECOS PAC ID | 5597675728 | 
|---|---|
| Medicare Enrollment ID | O20091016000565 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316291172 | NPI | - | NPPES | 
| FQC103 | Medicaid | SC | 
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Ginn Altman Ave Ste C, Hampton, SC 29924 Phone: 877-943-2800  | |
Vega Healthcare Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Jackson Ave E, Hampton, SC 29924 Phone: 803-943-3813 Fax: 803-943-5971  |