NPIMap

Organization Active NPI

Beaufort County Alcohol & Drug Abuse Dept.

  • Substance Abuse Rehabilitation Facility
  • Beaufort, SC
National Provider Identifier
1740670108
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BEAUFORT COUNTY ALCOHOL & DRUG ABUSE DEPT.
Practice address
1905 Duke St
270
Beaufort, SC 29902-4403
Phone
(843) 255-6020
NPI assigned
Jan 23, 2015
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Jeffrey Gayken
Title
Counselor
Phone
(843) 255-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

1905 Duke St
270
Beaufort, SC 29902-4403

Mailing address

1905 Duke St
270
Beaufort, SC 29902-4403
Phone (843) 255-6020

Other identifiers 1

IdentifierTypeStateIssuer
AD21BEMedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
County Council of Beaufort County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1905 Duke St
#270
Beaufort, SC 29902
Phone (843) 255-6000

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1740670108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 DUKE ST",
            "address_2": "270",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024403",
            "telephone_number": "843-255-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 DUKE ST",
            "address_2": "270",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024403",
            "telephone_number": "843-255-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY ALCOHOL & DRUG ABUSE DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "GAYKEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "843-255-6020"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD21BE",
            "state": "SC"
        }
    ],
    "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 Jan 23, 2015; 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.