NPIMap

Organization Active NPI

Beaufort County Memorial Hospital

Doing business as Beaufort Hospital CRNA Services

  • Certified Registered Nurse Anesthetist
  • Beaufort, SC
National Provider Identifier
1467423178
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
BEAUFORT COUNTY MEMORIAL HOSPITAL
Doing business as
Beaufort Hospital CRNA Services
Practice address
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone
(803) 765-1838
Fax
(803) 765-1732
NPI assigned
Jan 30, 2006
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BEAUFORT COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Jeff White
Title
Cfo
Phone
(803) 765-1838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

955 Ribaut Rd
Beaufort, SC 29902-5441

Mailing address

PO Box 1927
Columbia, SC 29202-1927
Phone (803) 765-1838

Other identifiers 1

IdentifierTypeStateIssuer
GP3574MedicaidSC

Other names 1

  • Beaufort Hospital CRNA Services Doing business as

National Provider Directory

National Provider Directory
Part of
Beaufort Co Mem Hospita

Locations

1251 Ribaut Rd
Ste B
Beaufort, SC 29902
Phone (843) 524-3015

300 Midtown Dr
Fl 1
Beaufort, SC 29906

955 Ribaut Rd
Ste 11
Beaufort, SC 29902
Phone (843) 522-5746

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

1680 Ribaut Rd
#A
Port Royal, SC 29935
Phone (843) 441-0487

1835 N Paris Ave
Port Royal, SC 29935
Phone (843) 524-1954

1000 Pine St W
Varnville, SC 29944
Phone (803) 943-5228

Practitioners & affiliated clinicians

Practitioners 145

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 145

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1467423178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1927",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292021927",
            "telephone_number": "803-765-1838",
            "fax_number": "803-765-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "803-765-1838",
            "fax_number": "803-765-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAUFORT COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "803-765-1838"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3574",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaufort Hospital CRNA Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 6, 2014; 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.