TRIDENT MEDICAL CENTER LLC NPI 1912029612

NPI Information

NPI: 1912029612
Provider Name: TRIDENT MEDICAL CENTER, LLC
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
:
Address: 9330 MEDICAL PLAZA DR
CHARLESTON, SC
ZIP 29406
Phone: (843) 797-7000

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NPI Details

TRIDENT MEDICAL CENTER, LLC is a medical specialty clinic center in Charleston, SC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). TRIDENT MEDICAL CENTER, LLC NPI is 1912029612. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

9330 MEDICAL PLAZA DR
CHARLESTON, SC
ZIP 29406-104
Phone: (843) 797-7000
Fax: (843) 797-4086

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 enumeration date for this NPI number is 4/4/2007 and was last updated on 10/1/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DPE045	MEDICAID	SOUTH 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: 11/21/2025

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