Provider Demographics
NPI:1013130293
Name:BEAUFORT COUNTY HOSPITAL ASSOCIATION INC
Entity Type:Organization
Organization Name:BEAUFORT COUNTY HOSPITAL ASSOCIATION INC
Other - Org Name:TIDELAND PSYCHIATRIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-975-4201
Mailing Address - Street 1:1308 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-3424
Mailing Address - Country:US
Mailing Address - Phone:252-946-3666
Mailing Address - Fax:252-974-5499
Practice Address - Street 1:1308 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3424
Practice Address - Country:US
Practice Address - Phone:252-946-3666
Practice Address - Fax:252-974-5499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty