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General NPI Number Information
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NPI Number | 1649276148
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Entity Type | Organization
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Legal Business Name | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 719 N OKATIE HWY
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City | RIDGELAND
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State | SC
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Zip | 29936-8276
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Country | US
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Telephone | 843-987-7400
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Fax | 843-987-0559
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Provider Business Mailing Address
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Address Line | PO BOX 357
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City | RIDGELAND
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State | SC
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Zip | 29936-2605
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Country | US
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Telephone | 843-987-7400
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Fax | 843-987-0559
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | FAITH LAWRENCE POLKEY
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Credential |
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Telephone | 843-987-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | EPSD&T
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 295441
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | CBP005
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | FQC008
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | FQC008
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License Number State | SC
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