Healthcare Provider Details

I. General information

NPI: 1194784934
Provider Name (Legal Business Name): NH BEAUFORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINCKNEY BLVD BOX 6086-B
BEAUFORT SC
29902-6122
US

IV. Provider business mailing address

1 PINCKNEY BLVD BOX 6086-B
BEAUFORT SC
29902-6122
US

V. Phone/Fax

Practice location:
  • Phone: 843-228-5384
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: BRIDGET DILBERT
Title or Position: UBO MANAGER
Credential:
Phone: 843-228-5366