# BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC
- **Other names:** Beaufort Jasper Hampton Comprehensive Health Services, MDPP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730660671
- **Legal business name:** BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC
- **Authorized official:** ROLAND J GARDNER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (843) 987-7400

## Contact information

- **Practice address:** 719 OKATIE HWY \# 170, OKATIE, SC 29909-3963
- **Practice address phone:** (843) 987-7400
- **Mailing address:** PO BOX 357, RIDGELAND, SC 29936-2605
- **Mailing address phone:** (843) 987-7400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2018
- **Last updated:** 08/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | DPE064 | — | SC |