Provider Demographics
NPI:1811309339
Name:NH BEAUFORT
Entity type:Organization
Organization Name:NH BEAUFORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF DHA POSC
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6650
Mailing Address - Street 1:NAVAL HOSPITAL
Mailing Address - Street 2:CO ROSEMARY LIVINGSTON 1 PINCKNEY BLVD
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902
Mailing Address - Country:US
Mailing Address - Phone:843-228-5407
Mailing Address - Fax:843-228-5272
Practice Address - Street 1:1 PINCKNEY BLVD
Practice Address - Street 2:NAVAL HOSPITAL BEAUFORT
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902
Practice Address - Country:US
Practice Address - Phone:843-228-5407
Practice Address - Fax:843-228-5272
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NH BEAUFORT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-02
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145957OtherPK