CMS-1500 Box 24J / 33a • NPI
1598019341
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QF0400X (CMS B4[14])
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
776 2ND ST E, ESTILL, SC, 29918-4926
✓ 9-Digit EDI 837 ZIP+4 (29918-4926)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1598019341 (BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1598019341 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QF0400X (Clinic/Center, Federally Qualified Health Center (FQHC)) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 776 2ND ST E, ESTILL, SC, 29918-4926 |
| Practice Telephone / Fax | Tel: (803) 625-2548 | Fax: (803) 625-2801 |
| Administrative Mailing Address | 721 N OKATIE HWY # 170, RIDGELAND, SC, 29936-8276 |
| Enumeration & Last Sync | Enumerated: 2012-11-01 | CMS Record Updated: 2016-08-08 |
| Authorized Official | ROLAND GARDNER (Chief Executive Officer) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QF0400X)
What Does Taxonomy Code 261QF0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QF0400X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QC1500X — Clinic/Center, Community HealthPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: SC | License: GP2554 | Primary: Secondary |
261QD0000X — Clinic/Center, DentalPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: SC | License: 295441 | Primary: Secondary |
261QM2500X — Clinic/Center, Medical SpecialtyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: SC | License: FQC101 | Primary: Secondary |
261QM2500X — Clinic/Center, Medical SpecialtyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: SC | License: CBP005 | Primary: Secondary |
261QF0400X — Clinic/Center, Federally Qualified Health Center (FQHC)Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: SC | License: FQC101 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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