BEAUFORT COUNTY MEMORIAL HOSPITAL
NPI 1013224989
Clinic/Center - Adult Mental Health in Beaufort, SC

NPI Status: Active since September 13, 2010

Contact Information

989 RIBAUT RD
STE. 240
BEAUFORT, SC
ZIP 29902
Phone: (843) 522-5600

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • CLIA Number: 42D1039077
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About BEAUFORT COUNTY MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Beaufort County Memorial Hospital, a provider established in Beaufort, South Carolina operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1013224989 assigned on September 2010. The practitioner's primary taxonomy code is 261QM0850X with license number 6685 (SC). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ms. Edmond Russell Baxley Iii (Ceo)

NPI
1013224989
Provider Name
BEAUFORT COUNTY MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
989 RIBAUT RD STE. 240 BEAUFORT, SC 29902
Location Phone
(843) 522-5600
Mailing Address
955 RIBAUT RD BEAUFORT, SC 29902
Mailing Phone
(843) 522-5282
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2010
Last Update Date
11-06-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
6685
License State
SC
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. EDMOND RUSSELL BAXLEY III

Authorized Official Title
CEO
Authorized Official Phone
(843) 522-5140

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D1039077
Facility Type
Community Clinic
Certificate Effective Date
April 04, 2005
Certificate Expiration Date
May 22, 2026
Laboratory Director
JOSEPH MODZELEWSKI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Beaufort County Memorial Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013224989, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 4 + 2 + 8 + 9 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1013224989.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
989 RIBAUT RD, SUITE 240
BEAUFORT, SC 29902
Speech-Language Pathologist
989 RIBAUT RD, SUITE 360
BEAUFORT, SC 29902
Speech-Language Pathologist
989 RIBAUT RD
BEAUFORT, SC 29902
Occupational Therapist (Physical Rehabilitation)
989 RIBAUT RD, SUITE 330
BEAUFORT, SC 29902
Speech-Language Pathologist
989 RIBAUT RD, 360
BEAUFORT, SC 29902
Speech-Language Pathologist
989 RIBAUT RD, SUITE 360
BEAUFORT, SC 29902
Physical Therapist (Pediatrics)
989 RIBAUT RD
BEAUFORT, SC 29902
Occupational Therapist
989 RIBAUT RD, ST 360
BEAUFORT, SC 29902
Speech-Language Pathologist
989 RIBAUT RD, HEALTHLINK FOR CHILDREN
BEAUFORT, SC 29902
Occupational Therapist
989 RIBAUT RD, SUITE 360
BEAUFORT, SC 29902
Internal Medicine
989 RIBAUT RD, SUITE 260
BEAUFORT, SC 29902
Speech-Language Pathologist
989 RIBAUT RD
BEAUFORT, SC 29902
Internal Medicine
989 RIBAUT RD, STE 260
BEAUFORT, SC 29902
Internal Medicine
989 RIBAUT RD, STE 260
BEAUFORT, SC 29902
Nurse Practitioner (Adult Health)
989 RIBAUT RD, SUITE 260
BEAUFORT, SC 29902
Internal Medicine
989 RIBAUT RD, SUITE 260
BEAUFORT, SC 29902
Psychiatry & Neurology (Psychiatry)
989 RIBAUT RD, SUITE 240
BEAUFORT, SC 29902
Specialist
989 RIBAUT RD, SUITE 220
BEAUFORT, SC 29902
Physical Therapist
989 RIBAUT RD, SUITE 330
BEAUFORT, SC 29902
Registered Nurse
989 RIBAUT RD
BEAUFORT, SC 29902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013224989, enumerated as an "organization" on September 13, 2010.

The provider is located at 989 RIBAUT RD STE. 240 BEAUFORT, SC 29902 and the phone number is (843) 522-5600.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.