Estill Medical Center

LBN: Beaufort Jasper Hampton Comprehensive Health Services, Inc.
Estill Medical Center is an health care organization with primary practice located at 776 2Nd St E , Estill SC 29918-4926. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Beaufort Jasper Hampton Comprehensive Health Services, Inc. can be contacted via phone (803) 625-2548, or through Gardner, Roland J via phone (843) 987-7400.

Contact Information

Primary practice address
776 2Nd St E Estill SC 29918-4926
Phone: (803) 625-2548
Fax: (803) 625-2801
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Roland J
Phone: (843) 987-7400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X GP2554 South Carolina
Ambulatory Health Care Facilities / Dental 261QD0000X 295441 South Carolina
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X FQC101 South Carolina
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X FQC101 South Carolina
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X CBP005 South Carolina

Profile Details

NPI number 1598019341
LBN Legal business name Beaufort Jasper Hampton Comprehensive Health Services, Inc.
DBA Doing business as Estill Medical Center
Authorized official Gardner, Roland J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2012
Last updated Aug 8th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598019341 NPPES
South Carolina MEDICAID FQC101

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