Organization
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC
Active
Other names
BJHCHS,INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND J GARDNER (CHIEF EXECUTIVE OFFICER)
(843) 987-7400
Entity
Organization
Contact information
Practice address
719 N OKATIE HWY, RIDGELAND, SC 29936-8276
(843) 987-7400
(843) 987-0197
Mailing address
721 N OKATIE HWY # 170, RIDGELAND, SC 29936-8276
(843) 987-7400
(843) 987-0197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
450973
SC
261QC1500X
Community Health Clinic/Center
42-7006
SC
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
42-1809
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450973
—
SC
Enumeration date
12/19/2006
Last updated
02/28/2017
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