Organization
BEAUFORT COUNTY MEMORIAL HOSPITAL
Active
Parent organization
BEAUFORT COUNTY MEMORIAL HOSPITAL
Other names
Beaufort Memorial Harrison Peeples Healthcare Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAUFORT COUNTY MEMORIAL HOSPITAL
Authorized official
MR. EDMOND RUSSELL BAXLEY III (CEO)
(843) 522-5140
Entity
Organization
Contact information
Practice address
1000 PINE STREET WEST, VARNVILLE, SC 29944-0969
(803) 943-5228
(803) 943-4591
Mailing address
1000 PINE STREET WEST, VARNVILLE, SC 29944-0969
(803) 943-5228
(803) 943-4591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
SC
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
SC
363L00000X
Nurse Practitioner
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0365
—
SC
05
—
RHC013
—
SC
Enumeration date
04/25/2006
Last updated
11/06/2019
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