BEAUFORT MEMORIAL HOSPITAL
NPI 1063596443
General Acute Care Hospital in Beaufort, SC

NPI Status: Active since October 24, 2006

Contact Information

955 RIBAUT RD
BEAUFORT, SC
ZIP 29902
Phone: (843) 522-5200
Fax: (843) 522-5765

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  • Organization
  • General Acute Care Hospital
  • Accepts Insurance
  • CLIA Number: 42D0253884
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About BEAUFORT MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Beaufort Memorial Hospital, a provider established in Beaufort, South Carolina operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1063596443 assigned on October 2006. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Beaufort Memorial Hospital. The authorized official of this NPI record is Mr. Edmond Russell Baxley Iii (Ceo)

NPI
1063596443
Provider Legal Name
BEAUFORT COUNTY MEMORIAL HOSPITAL
Other Organization Name
BEAUFORT MEMORIAL HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
955 RIBAUT RD BEAUFORT, SC 29902
Location Phone
(843) 522-5200
Location Fax
(843) 522-5765
Mailing Address
955 RIBAUT ROAD BMAC CREDENTIALING COORDINATOR BEAUFORT, SC 29902
Mailing Phone
(843) 522-5674
Mailing Fax
(843) 522-5765
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2006
Last Update Date
04-10-2020
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. EDMOND RUSSELL BAXLEY III

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
400676MEDICAID (05)SC 

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
42D0253884
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. EVELYN T. BRUNER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Beaufort 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.

Reviews for BEAUFORT MEMORIAL HOSPITAL

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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 1063596443, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 6 → 12 → 3 5 → 10 → 1 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 1 + 0 + 9 + 1 + 2 + 4 + 8 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1063596443.

Other Providers at the Same Location


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

Emergency Medicine
955 RIBAUT RD
BEAUFORT, SC 29902
Emergency Medicine
955 RIBAUT RD
BEAUFORT, SC 29902
Anesthesiology
955 RIBAUT RD
BEAUFORT, SC 29902
Nurse Anesthetist, Certified Registered
955 RIBAUT RD
BEAUFORT, SC 29902
Nurse Anesthetist, Certified Registered
955 RIBAUT RD
BEAUFORT, SC 29902
Nurse Anesthetist, Certified Registered
955 RIBAUT RD
BEAUFORT, SC 29902
Internal Medicine
955 RIBAUT RD
BEAUFORT, SC 29902
Radiology (Diagnostic Radiology)
955 RIBAUT RD
BEAUFORT, SC 29902
Emergency Medicine
955 RIBAUT RD
BEAUFORT, SC 29902
Counselor (Professional)
955 RIBAUT RD
BEAUFORT, SC 29902
Social Worker (Clinical)
955 RIBAUT RD, 2 EAST
BEAUFORT, SC 29902
Physician Assistant
955 RIBAUT RD
BEAUFORT, SC 29902
Pathology (Anatomic Pathology & Clinical Pathology)
955 RIBAUT RD
BEAUFORT, SC 29902
Emergency Medicine
955 RIBAUT RD
BEAUFORT, SC 29902
Nurse Anesthetist, Certified Registered
955 RIBAUT RD
BEAUFORT, SC 29902
Physician Assistant (Medical)
955 RIBAUT RD
BEAUFORT, SC 29902
Occupational Therapist
955 RIBAUT RD
BEAUFORT, SC 29902
Counselor (Professional)
955 RIBAUT RD
BEAUFORT, SC 29902
Occupational Therapy Assistant
955 RIBAUT RD
BEAUFORT, SC 29902
Nurse Practitioner (Family)
955 RIBAUT RD
BEAUFORT, SC 29902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063596443, enumerated as an "organization" on October 24, 2006.

The provider is located at 955 RIBAUT RD BEAUFORT, SC 29902 and the phone number is (843) 522-5200.

General Acute Care Hospital with taxonomy code 282N00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.