Beaufort County Memorial Hospital, NPI 1336180165
General Practice Physician in Beaufort, SC, US
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 |
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 | |
| Taxonomy Name | General Practice Physician |
| Classification | |
| Group | |
| Description | Definition to come... |
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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