Elijah Washington Medical Center
LBN: Beaufort Jasper Hampton Comprehensive Health Services, Inc.
Elijah Washington Medical Center is an health care organization with primary practice located at 211 Paige Point Road , Sheldon SC 29941. The organization recently has 5 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 / Multi-Specialty, 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 (843) 846-8748, or through Gardner, Roland J via phone (843) 987-7400.
Contact Information
Primary practice address
211 Paige Point Road
Sheldon SC 29941
Phone: (843) 846-8748
Fax: (843) 846-8312
Website:
Health care specialties
| Specialty | Code | License # | 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 | FQC100 | South Carolina |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | CBP005 | South Carolina |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | FQC100 | South Carolina |
Profile Details
| NPI number | 1669726634 |
|---|---|
| LBN Legal business name | Beaufort Jasper Hampton Comprehensive Health Services, Inc. |
| DBA Doing business as | Elijah Washington Medical Center |
| Authorized official | Gardner, Roland J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669726634 | NPPES |
| South Carolina | MEDICAID | FQC100 |
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