National Provider Identifier Database

TRIDENT MEDICAL CENTER LLC
Medical Specialty

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).


Contact Information

TRIDENT MEDICAL CENTER, LLC
9330 MEDICAL PLAZA DR
CHARLESTON, SC29406-9104
Phone: 843-797-7000
Fax: 843-797-4086
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for TRIDENT MEDICAL CENTER, LLC

NPI Number 1912029612
Legal business name
LBN
TRIDENT MEDICAL CENTER, LLC
Authorized official ANDY MILLER - (CFO)
Entity Organization
Organization subpart No
Enumeration date 04/04/2007
Last updated 10/01/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: DPE045

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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