RIDGELAND MEDICAL CENTER
NPI 1629322466
Clinic/Center - Federally Qualified Health Center (FQHC) in Ridgeland, SC

Active since November 01, 2012
1520 GRAYS HWY, RIDGELAND, SC 29936(843) 726-3979(843) 726-4287 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ridgeland Medical Center NPPES

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

RIDGELAND MEDICAL CENTER (NPI 1629322466) is a healthcare organization registered as a federally qualified health center (fqhc) in Ridgeland, South Carolina and active in the NPI registry since November 2012. The organization lists Roland J Gardner, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1629322466
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
Location Address1520 GRAYS HWYRidgeland, SC 29936-5440
Mailing Address721 N Okatie Hwy # 170Ridgeland, SC 29936-8276 · (843) 987-7400 · Fax (843) 987-7498
Fax(843) 726-4287
Organization SubpartNo
Authorized OfficialRoland J GardnerChief Executive Officer · (843) 987-7400
Enumeration DateNovember 1, 2012
Last NPPES UpdateAugust 8, 2016
NPI 1629322466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in SC · FQC099
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License GP2554 (SC)
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 295441 (SC)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License CBP005 (SC)
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License FQC099 (SC)
1520 GRAYS HWY, Ridgeland, SC 29936

Other Names 1

Doing Business AsRidgeland Medical Center

Other Identifiers 2

MedicaidFQC099SC
Medicare PIN42-1913SC

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 42D0889219

Ridgeland Medical Center · Ridgeland, SC
Expired · Jul 21, 2026
CLIA Number42D0889219
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 22, 2024
Certificate Expiration DateJuly 21, 2026
Laboratory DirectorRosalind Dawson
Laboratory Phone(843) 726-3979
Laboratory LocationRidgeland Medical Center1520 Grays Highway, Ridgeland, SC 29936
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

Dietitian, Registered
1520 GRAYS HWY
RIDGELAND, SC 29936
Nurse Practitioner (Family)
1520 GRAYS HWY
RIDGELAND, SC 29936

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629322466, enumerated as an "organization" on November 01, 2012.

The provider is located at 1520 GRAYS HWY RIDGELAND, SC 29936 and the phone number is (843) 726-3979.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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