NPIMap

Organization Active NPI

Beaufort Jasper Hampton Comprehensive Health Services, Inc.

Doing business as Elijah Washington Medical Center

  • Federally Qualified Health Center (FQHC)
  • Seabrook, SC
National Provider Identifier
1669726634
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
FQC100 Issued in SC
Legal business name
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
Doing business as
Elijah Washington Medical Center
Practice address
211 Paige Point Rd
Seabrook, SC 29940-2737
Phone
(843) 846-8026
Fax
(843) 846-8312
NPI assigned
Oct 30, 2012
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Melissa Major
Title
Chief Finance Officer
Phone
(843) 987-7400

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X GP2554 SC
Dental Clinic/Center 261QD0000X 295441 SC
Federally Qualified Health Center (FQHC) 261QF0400X FQC100 SC Primary
Multi-Specialty Clinic/Center 261QM1300X CBP005 SC
Medical Specialty Clinic/Center 261QM2500X FQC100 SC

Addresses

Primary practice location

211 Paige Point Rd
Seabrook, SC 29940-2737

Mailing address

721 N Okatie Hwy # 170
Ridgeland, SC 29936-8276
Phone (843) 987-7400

Other names 1

  • Elijah Washington Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091020000226 SC Part A Provider - Federally Qualified Health Center (FQHC) 5597675728 Practice locations: Sheldon, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669726634. Details of each certification follow.

Federally qualified health center certification: CCN 421908

Legal name
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES INC
Doing business as
ELIJAH WASHINGTON MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 20, 2009
Last certification
Oct 20, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 10, 1970 in SC
Enrollment address
211 Paige Point Road
Sheldon, SC 29941-0008

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0889223Elijah Washington Medical Center211 Paige Point Road, Sheldon, SC 29941Provider-performed microscopyJul 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Beaufort Jasper Compreh24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carolyn Theodore Individual Corporate Director Jan 8, 2013
Lucy Robinson Individual Corporate DirectorBoard Jan 8, 2013
Hattie O Askew Individual Corporate DirectorBoard Jan 8, 2013
Delmer Hollingsworth Individual Corporate Director Jan 8, 2013
Kimberly R McMillan Individual Corporate OfficerBoard Jan 8, 2013
June Levesque Individual Corporate Director Sep 21, 2009
Beaufort Jasper Hampton Comprehensive Health Services Inc Organization, Okatie, SC 5% Or Greater Direct Ownership Interest Sep 21, 2009
Operational/Managerial Control Sep 21, 2009
Christopher Yenchko Individual Corporate DirectorBoard Jan 8, 2013
Pablo Caballero Individual Corporate DirectorBoard Jan 8, 2013
Baxter F McLendon Individual Corporate DirectorBoard Jan 8, 2013
Lonnie McIntee Individual Operational/Managerial Control Jan 1, 2015
Martha Johnson Individual Corporate DirectorBoard Jan 8, 2013

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Port Royal Medical CenterPort Royal, SC, CCN 421915 Federally qualified health center Operational/Managerial Control Sep 21, 2009
Leroy E. Browne Medical CenterSaint Helena Island, SC, CCN 421911 Federally qualified health center Operational/Managerial Control Sep 21, 2009
Bjhchs, IncHampton, SC, CCN 421910 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 21, 2009
Bjhchs, IncHardeeville, SC, CCN 421912 Federally qualified health center Operational/Managerial Control Sep 21, 2009
Estill Medical CenterEstill, SC, CCN 421907 Federally qualified health center 5% Or Greater Security Interest (100%) Nov 29, 2012
Varnville Medical CenterVarnville, SC, CCN 421116 Federally qualified health center Operational/Managerial Control (100%) Mar 31, 2025
Bjhchs Mobile UnitOkatie, SC, CCN 421131 Federally qualified health center Operational/Managerial Control Nov 3, 2025

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1669726634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N OKATIE HWY # 170",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368276",
            "telephone_number": "843-987-7400",
            "fax_number": "843-987-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PAIGE POINT RD",
            "city": "SEABROOK",
            "state": "SC",
            "postal_code": "299402737",
            "telephone_number": "843-846-8026",
            "fax_number": "843-846-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "843-987-7400"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "SC",
            "license": "GP2554",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "295441",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "SC",
            "license": "FQC100",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "SC",
            "license": "CBP005",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "FQC100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elijah Washington Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seabrook, SC

Sources for this page

Verify at the official NPI Registry.