Beaufort Family Medicine PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

26623 Issued in SC

Legal business name

BEAUFORT FAMILY MEDICINE PA

Practice address

974 Ribaut Rd
Beaufort, SC 29902-5486

Phone

(843) 524-3344

Fax

(843) 524-5574

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. S Clark Trask, MD

Title

Partner

Phone

(843) 524-3344

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1487817730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025486",
            "telephone_number": "843-524-3344",
            "fax_number": "843-524-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025486",
            "telephone_number": "843-524-3344",
            "fax_number": "843-524-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "TRASK",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-524-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "26623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC045",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaufort Emergency Medicine, PA
• Beaufort ENT & Allergy LLC
• Beaufort Family Care LLC
• Beaufort Family Care, LLC
• Beaufort Family Dentistry VSM LLC
• Beaufort Family Medicine, PA
• Beaufort Gastroenterology
• Beaufort Internal Medicine LLC
• Beaufort Jasper Hampton Comprehensive Health Services, Inc (Port Royal OB/GYN)
• Beaufort Medical Equipment Inc

• Rural Health Clinic/Center in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.