Organization Active NPI

Good Neighbor Medical Clinic

  • Primary Care Clinic/Center
  • Beaufort, SC
National Provider Identifier
1235366329
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GOOD NEIGHBOR MEDICAL CLINIC
Practice address
30 Professional Village Cir
Beaufort, SC 29907-1570
Phone
(843) 470-9088
Fax
(843) 470-0299
NPI assigned
Jun 16, 2009
Last updated
Mar 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sheila M Deuel
Title
Executive Director
Phone
(843) 470-9088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

30 Professional Village Cir
Beaufort, SC 29907-1570

Mailing address

PO Box 583
Beaufort, SC 29901-0583
Phone (843) 470-9088

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1235366329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299010583",
            "telephone_number": "843-470-9088",
            "fax_number": "843-470-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROFESSIONAL VILLAGE CIR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071570",
            "telephone_number": "843-470-9088",
            "fax_number": "843-470-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBOR MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "DEUEL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-470-9088",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.