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Contact Information

TRIDENT SENIOR HEALTH CENTER
2070 NORTHBROOK BLVD
#A16
CHARLESTON, SC29406-9252
 Phone: 843-797-0416
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TRIDENT SENIOR HEALTH CENTER

NPI Number 1467497206
LBN Legal business name TRIDENT SENIOR HEALTH CENTER
Authorized official TIM LLOYD - (V.P.)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2006
Last updated 04/20/2008 - About 18 years ago
Identifiers
SC Medicaid GP1196
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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