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

Active since September 13, 2010CLIA Certified · 2 labs
989 RIBAUT RD, STE. 240, BEAUFORT, SC 29902(843) 522-5600 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beaufort County Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUFORT COUNTY MEMORIAL HOSPITAL (NPI 1013224989) is a healthcare organization registered as an adult mental health in Beaufort, South Carolina and active in the NPI registry since September 2010. The organization holds 2 active CLIA laboratory certificates and lists Edmond Russell Baxley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013224989
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBEAUFORT COUNTY MEMORIAL HOSPITAL
Location Address989 RIBAUT RD, STE. 240Beaufort, SC 29902-5472
Mailing Address955 Ribaut RdBeaufort, SC 29902-5441 · (843) 522-5282 · Fax (843) 522-5887
Phone(843) 522-5600
Organization SubpartNo
Authorized OfficialEdmond Russell BaxleyCeo · (843) 522-5140
Enumeration DateSeptember 13, 2010
Last NPPES UpdateNovember 6, 2019
✔ NPI 1013224989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in SC · 6685
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
989 RIBAUT RD, Beaufort, SC 29902
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0971514

Beaufort County Memorial Hospital Beaufort Memorial Primary Care · Beaufort, SC
Active · expires Apr 30, 2027
CLIA Number42D0971514
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorAndrea D. Hucks
Laboratory Phone(843) 522-7531
Laboratory LocationBeaufort County Memorial Hospital Beaufort Memorial Primary Care989 Ribaut Road, Suite 260, Beaufort, SC 29902
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 42D0950004

Beaufort County Memorial Hospital Beaufort Memorial Medical Oncology Infusion Center · Beaufort, SC
Active · expires Aug 13, 2026
CLIA Number42D0950004
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorDr. Evelyn T. Bruner
Laboratory Phone(843) 522-5682
Laboratory LocationBeaufort County Memorial Hospital Beaufort Memorial Medical Oncology Infusion Center989 Ribaut Road Suite 200, Beaufort, SC 29902
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN ROYAL KESSEL MD
Internal Medicine
989 RIBAUT RD, STE 260
BEAUFORT, SC 29902
Beaufort County (843) 522-7600
ABBY BISHOP MA CCC-SLP, CLC
Speech-Language Pathologist
989 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (803) 642-0700
MARY W HILL MD
Psychiatry & Neurology (Psychiatry)
989 RIBAUT RD, SUITE 240
BEAUFORT, SC 29902
Beaufort County (843) 522-5600
KATHERINE MAE RABASCO MS, OTR/L
Occupational Therapist
989 RIBAUT RD, ST 360
BEAUFORT, SC 29902
Beaufort County (843) 522-5900
DR. PETER NICHOLAS MANOS MD
Internal Medicine (Pulmonary Disease)
989 RIBAUT RD, STE 340
BEAUFORT, SC 29902
Beaufort County (843) 521-8484
LEA CIFRANICK
Speech-Language Pathologist
989 RIBAUT RD, HEALTHLINK FOR CHILDREN
BEAUFORT, SC 29902
Beaufort County (843) 522-5900
ANGELA BANDOLA
Occupational Therapist (Physical Rehabilitation)
989 RIBAUT RD, SUITE 330
BEAUFORT, SC 29902
Beaufort County (843) 522-5593
PALMETTO PULMONARY MEDICINE. P.A.
Physician Assistant
989 RIBAUT RD, SUITE 340
BEAUFORT, SC 29902
Beaufort County (843) 521-8484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaufort County Memorial Hospital's NPI number?

The NPI number for Beaufort County Memorial Hospital is 1013224989. It was assigned to this organization in the NPPES registry on September 13, 2010.

Where is Beaufort County Memorial Hospital located?

Beaufort County Memorial Hospital is located at 989 Ribaut Rd Ste. 240, Beaufort, SC 29902. The listed phone number is (843) 522-5600.

What is Beaufort County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does Beaufort County Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Beaufort County Memorial Hospital was last updated on November 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.