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TRIDENT SENIOR HEALTH CENTER NPI 1467497206


NPI Information

NPI: 1467497206
Provider Name: TRIDENT SENIOR HEALTH CENTER
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2070 NORTHBROOK BLVD
#A16
CHARLESTON, SC
ZIP 29406
Phone: (843) 797-0416
Get Directions

TRIDENT SENIOR HEALTH CENTER is a geriatric medicine family medicine in Charleston, SC. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. TRIDENT SENIOR HEALTH CENTER NPI is 1467497206. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2070 NORTHBROOK BLVD
#A16
CHARLESTON, SC
ZIP 29406-252
Phone: (843) 797-0416

The provider's authorized official is Tim Lloyd .
The authorized official title is V.p. and has the following contact phone number (843) 797-0416.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========002OTHERSOUTH CAROLINABLUE CROSS BLUE SHIELD OF
2GP1196MEDICAIDSOUTH CAROLINA
34856MEDICARE PINSOUTH CAROLINA
4CH6021MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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