NPIMap

Organization Active NPI

Beaufort County Hospital Association Inc

Doing business as Tideland Psychiatric Services Columbia

  • Psychiatry Physician
  • Columbia, NC
National Provider Identifier
1972731859
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEAUFORT COUNTY HOSPITAL ASSOCIATION INC
Doing business as
Tideland Psychiatric Services Columbia
Practice address
1208 Highway 64
Columbia, NC 27925-0000
Phone
(252) 796-0595
Fax
(252) 796-0211
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Susan S Gerard
Title
Medical Practice Administrator
Phone
(252) 975-4203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

1208 Highway 64
Columbia, NC 27925-0000

Mailing address

1208 Highway 64
Columbia, NC 27925-0000
Phone (252) 796-0595

Other names 1

  • TIDELAND PSYCHIATRIC SERVICES COLUMBIA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaufort County Hospital Association Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1972731859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HIGHWAY 64",
            "city": "COLUMBIA",
            "state": "NC",
            "postal_code": "279250000",
            "telephone_number": "252-796-0595",
            "fax_number": "252-796-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HIGHWAY 64",
            "city": "COLUMBIA",
            "state": "NC",
            "postal_code": "279250000",
            "telephone_number": "252-796-0595",
            "fax_number": "252-796-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-975-4203"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIDELAND PSYCHIATRIC SERVICES COLUMBIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.