Trident Medical Center Llc, NPI 1366496937
General Acute Care Hospital in Charleston, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1366496937
NPI Entity Type Organization
Provider Name Trident Medical Center Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 9330 Medical Plaza Dr, Charleston, SC, US
Provider Mailing Address 9330 Medical Plaza Dr, Charleston, SC, US, 294069104
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Andy S. Miller
Official Position CFO
Phone 843-847-4100

Primary Taxonomy

Taxonomy Code

282N00000X

Taxonomy Name General Acute Care Hospital
Classification

General Acute Care Hospital

Group

Hospitals

Description 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.

Other Organization Name

Trident Medical Center
Doing Business As

Business Address

Trident Medical Center Llc
9330 Medical Plaza Dr

Charleston, SC, US

Phone: 843-847-7000
Fax: 843-847-4086

Mailing Address

Trident Medical Center Llc
9330 Medical Plaza Dr
Charleston, SC, US
ZIP 294069104
Phone: 843-847-7000
Fax: 843-847-4086

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1004107 MA MEDICAID 05
166376800 DEPT OF LABOR 01
733728 OH MEDICAID 05
909075400 FL MEDICAID 05
00096542 MS MEDICAID 05
00881944X GA MEDICAID 05
01601129 KY MEDICAID 05
1000037000 DE MEDICAID 05
1537918 UNITED MINE WORKERS 01
269338 SC MEDICAID 05
3025186 WA MEDICAID 05
032516900 DC MEDICAID 05
100506046 NV MEDICAID 05
5000221 PHYSICIANS HEALTH PLAN 01
81237100 WI MEDICAID 05
XHSP33273 CA MEDICAID 05
10043717 GATEWAY MEDICAID 01
200357120A KS MEDICAID 05
272545 BLACK LUNG 01
30696 PA MEDICAID 05
10025100800 NE MEDICAID 05
978634 NY MEDICAID 05
420079 HIGHMARK BLUE CROSS 01
4200799 VA MEDICAID 05
016119109 MO MEDICAID 05
1745936 LA MEDICAID 05
304744932 MI MEDICAID 05
4212304 NJ MEDICAID 05
6699 BLUE CARE 01
873192 AZ MEDICAID 05
100698030A OK MEDICAID 05
158181105 AR MEDICAID 05
200241300A IN MEDICAID 05
4200790 RI MEDICAID 05
TRI0079N AL MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] Please contact [email protected] for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received. No 9330 Medical Plaza Dr, Charleston, SC, US

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NPI Name Taxonomy Address

1104473065

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Lawanna S Carson

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1134659287

MS. BCBA, COBA Brittany Leigh Fyffe

Individual

Behavioral Analyst

143 Norwood Dr

Easley, SC

1972228393

PHARMD Taylor Lynn Brown

Individual

Pharmacist

1676 N Highway 17

Mt Pleasant, SC

1104541515

Katherine Elizabeth Leighton

Individual

Mental Health Counselor

320 Midland Pkwy Ste C

Summerville, SC

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