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BEAUFORT COUNTY MEMORIAL HOSPITAL
NPI 1801020300
Specialist in Bluffton, SC

Active since May 12, 2009CLIA 42D2175186 · Waiver
11 ARLEY WAY, SUITE 102, BLUFFTON, SC 29910(843) 522-5742 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 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 1801020300) is a healthcare organization registered as a specialist in Bluffton, South Carolina and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Edmond Russell Baxley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801020300
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBEAUFORT COUNTY MEMORIAL HOSPITAL
Location Address11 ARLEY WAY, SUITE 102Bluffton, SC 29910-4883
Mailing Address1055 Ribaut Rd, Suite 30Beaufort, SC 29902-5423 · (843) 522-5742
Phone(843) 522-5742
Organization SubpartNo
Authorized OfficialEdmond Russell BaxleyCeo · (843) 522-5140
Enumeration DateMay 12, 2009
Last NPPES UpdateNovember 6, 2019
✔ NPI 1801020300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

11 ARLEY WAY, Bluffton, SC 29910
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 42D2175186

Beaufort County Memorial Hospital Beaufort Memorial May River Pavilion · Bluffton, SC
Active · expires Aug 19, 2026
CLIA Number42D2175186
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorRandall Castor
Laboratory Phone(843) 524-3344
Laboratory LocationBeaufort County Memorial Hospital Beaufort Memorial May River Pavilion1 Burnt Church Road, Bluffton, SC 29910
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D0658846

Beaufort Home Health Partners, LLC Dba Amedisys Home Health Of Bluffton · Bluffton, SC
Active · expires Aug 31, 2026
CLIA Number42D0658846
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKaren Pratt
Laboratory Phone(843) 815-8088
Laboratory LocationBeaufort Home Health Partners, LLC Dba Amedisys Home Health Of Bluffton59 Sheridan Park Circle, Suite A, Bluffton, SC 29910
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2302787

Beaufort Memorial Hospital Marshview Primary Care · Bluffton, SC
Expired · Apr 15, 2026
CLIA Number42D2302787
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2024
Certificate Expiration DateApril 15, 2026
Laboratory DirectorChristopher M. Opella
Laboratory Phone(843) 707-8050
Laboratory LocationBeaufort Memorial Hospital Marshview Primary Care1 Burnt Church Road, Suite B, Bluffton, SC 29910
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. ROBERT W LISLE M.D.
Family Medicine
11 ARLEY WAY, SUITE 201
BLUFFTON, SC 29910
Beaufort County (843) 706-8690
ROGER WESLEY ULRICH M.D.
Family Medicine
11 ARLEY WAY, SUITE 201
BLUFFTON, SC 29910
Beaufort County (843) 706-8690
HILTON HEAD REGIONAL PHYSICIAN GROUP LLC
Psychiatry & Neurology (Neurology)
11 ARLEY WAY
BLUFFTON, SC 29910
Beaufort County (843) 836-3667
JACEY CORNETT PA-C
Physician Assistant
11 ARLEY WAY
BLUFFTON, SC 29910
Beaufort County (843) 706-2523

Frequently Asked Questions

What is BEAUFORT COUNTY MEMORIAL HOSPITAL's NPI number?

The NPI number assigned to this healthcare provider is 1801020300, enumerated as an "organization" on May 12, 2009.

Where is the provider located?

The provider is located at 11 ARLEY WAY SUITE 102 BLUFFTON, SC 29910 and the phone number is (843) 522-5742.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.