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TRIDENT MEDICAL CENTER LLC NPI 1366496937


NPI Information

NPI: 1366496937
Provider Name: TRIDENT MEDICAL CENTER LLC

Doing Business As: TRIDENT MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 42D2126932

Address:
9330 MEDICAL PLAZA DR
CHARLESTON, SC
ZIP 29406
Phone: (843) 847-7000
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TRIDENT MEDICAL CENTER LLC is a general acute care hospital in Charleston, SC. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. TRIDENT MEDICAL CENTER LLC NPI is 1366496937. The provider is registered as an organization entity type.
The provider Is Doing Business As Trident Medical Center.

The provider's business location address is:

9330 MEDICAL PLAZA DR
CHARLESTON, SC
ZIP 29406-104
Phone: (843) 847-7000
Fax: (843) 847-4086

The provider's authorized official is Andy S. Miller .
The authorized official title is Cfo and has the following contact phone number (843) 847-4100.

The CLIA number assigned to this NPI record is 42D2126932 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 5/28/2021.


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
1282N00000XGeneral Acute Care HospitalYes

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
1158181105MEDICAIDARKANSAS
2200357120AMEDICAIDKANSAS
3272545OTHERBLACK LUNG
4420079OTHERHIGHMARK BLUE CROSS
55000221OTHERPHYSICIANS HEALTH PLAN
600096542MEDICAIDMISSISSIPPI
701601129MEDICAIDKENTUCKY
81000037000MEDICAIDDELAWARE
9200241300AMEDICAIDINDIANA
103025186MEDICAIDWASHINGTON
11909075400MEDICAIDFLORIDA
124200799MEDICAIDVIRGINIA
13733728MEDICAIDOHIO
1481237100MEDICAIDWISCONSIN
1500881944XMEDICAIDGEORGIA
161745936MEDICAIDLOUISIANA
174200790MEDICAIDRHODE ISLAND
18873192MEDICAIDARIZONA
19016119109MEDICAIDMISSOURI
201537918OTHERUNITED MINE WORKERS
21304744932MEDICAIDMICHIGAN
2230696MEDICAIDPENNSYLVANIA
234212304MEDICAIDNEW JERSEY
24TRI0079NMEDICAIDALABAMA
251004107MEDICAIDMASSACHUSETTS
26100506046MEDICAIDNEVADA
27269338MEDICAIDSOUTH CAROLINA
28978634MEDICAIDNEW YORK
29XHSP33273MEDICAIDCALIFORNIA
30032516900MEDICAIDDISTRICT OF COLUMBIA
3110025100800MEDICAIDNEBRASKA
3210043717OTHERGATEWAY MEDICAID
33100698030AMEDICAIDOKLAHOMA
34166376800OTHERDEPT OF LABOR
356699OTHERBLUE CARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.