NPIMap

Organization Active NPI

Beaufort County Memorial Hospital

  • Physical Therapy Clinic/Center
  • Beaufort, SC
National Provider Identifier
1619248317
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BEAUFORT COUNTY MEMORIAL HOSPITAL
Practice address
990 Ribaut Rd Ste 210
Beaufort, SC 29902-8011
Phone
(843) 522-5900
Fax
(843) 522-7311
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Edmond Russell Baxley III
Title
Ceo
Phone
(843) 522-5140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

990 Ribaut Rd Ste 210
Beaufort, SC 29902-8011

Mailing address

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5200

Other practice location 1

31 Innovation Dr
Bluffton, SC 29910-5159
Phone (843) 522-7180

Other names 1

  • BEAUFORT MEMORIAL HEALTHLINK Other name

National Provider Directory

National Provider Directory
Tax ID family
Sea Island Cancer Center16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

31 Innovation Dr
Bluffton, SC 29910
Phone (614) 394-4233

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1619248317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5200",
            "fax_number": "843-522-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 RIBAUT RD STE 210",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299028011",
            "telephone_number": "843-522-5900",
            "fax_number": "843-522-7311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Innovation Dr",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299105159",
            "country_code": "US",
            "telephone_number": "843-522-7180",
            "fax_number": "843-706-0744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAUFORT COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "BAXLEY",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-522-5140",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEAUFORT MEMORIAL HEALTHLINK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 6, 2019; 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.