Port Royal Medical Center
LBN: Beaufort Jasper Hampton Comprehensive Health Services, Inc.
Port Royal Medical Center is an health care organization with primary practice located at 1320 Ribaut Rd , Port Royal SC 29935-1118. The organization recently has 6 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 / Radiology, Mammography. 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) 986-0900, or through Gardner, Roland J via phone (843) 987-7400.
Contact Information
Primary practice address
1320 Ribaut Rd
Port Royal SC 29935-1118
Phone: (843) 986-0900
Fax: (843) 986-0566
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 | FQC102 | South Carolina |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | CBP005 | South Carolina |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | FQC102 | South Carolina |
| Ambulatory Health Care Facilities / Radiology, Mammography | 261QR0206X |
Profile Details
| NPI number | 1942554886 |
|---|---|
| LBN Legal business name | Beaufort Jasper Hampton Comprehensive Health Services, Inc. |
| DBA Doing business as | Port Royal Medical Center |
| Authorized official | Gardner, Roland J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 30th, 2012 |
| Last updated | Aug 9th, 2022 - about 2 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 | 1942554886 | NPPES |
| South Carolina | MEDICAID | FQC102 |
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