Organization
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES INC.
Active
Other names
Port Royal Medical Center II
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
2210-B MOSSY OAKS RD., PORT ROYAL, SC 29935-1046
(843) 986-0900
Mailing address
721 N OKATIE HWY, RIDGELAND, SC 29936-8276
(874) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/21/2016
Last updated
05/13/2022
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