Provider Demographics
NPI:1831764927
Name:BEAUFORT COUNTY MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:BEAUFORT COUNTY MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL STAFF COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRIMMELL
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-522-5790
Mailing Address - Street 1:BEAUFORT COUNTY MEMORIAL HOSPITAL
Mailing Address - Street 2:955 RIBAUT RD
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5441
Mailing Address - Country:US
Mailing Address - Phone:843-522-5790
Mailing Address - Fax:
Practice Address - Street 1:BEAUFORT MEMORIAL PULMONARY SPECIALIST
Practice Address - Street 2:122 OKATIE CENTER BLVD N STE 300
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-3782
Practice Address - Country:US
Practice Address - Phone:843-522-5775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty