Beaufort County Memorial Hospital, NPI 1336180165
General Practice Physician in Beaufort, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1336180165
NPI Entity Type Organization
Provider Name Beaufort County Memorial Hospital
Other Name
Subpart of Organization Beaufort County Memorial Hospital
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address Beaufort Memorial Lowcountry Medical Group, 300 Midtown, Beaufort, SC, US
Provider Mailing Address 955 Ribaut Rd, Bmac Credentialing, Beaufort, SC, US, 299025441
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. Edmund Russell Baxley III
Official Position CEO
Phone 843-522-5140

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

208D00000X

Taxonomy Name General Practice Physician
Classification

General Practice

Group

Allopathic & Osteopathic Physicians

Description Definition to come...

Other Organization Name

Beaufort Memorial LowCountry Medical Group
Other Name

Business Address

Beaufort County Memorial Hospital
Beaufort Memorial Lowcountry Medical Group
300 Midtown

Beaufort, SC, US

Phone: 843-770-0404
Fax: 844-296-2308

Mailing Address

Beaufort County Memorial Hospital
955 Ribaut Rd
Bmac Credentialing
Beaufort, SC, US
ZIP 299025441
Phone: 843-522-7843
Fax: 843-522-5678

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
101376 SC MEDICAID 05
3257 MEDICARE ID-TYPE UNSPECIFIED MEDICARE PART B 01
270920 SC MEDICAID 05
GP6561 SC MEDICAID 05

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