TRIDENT MEDICAL CENTER, LLC (NPI# 1124443478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124443478 |
Entity Type | Organization |
Organization Name | TRIDENT MEDICAL CENTER, LLC |
Other Organization Name | LOW COUNTRY TRANSITIONS AT TRIDENT MEDICAL CENTER |
Practice Address |
9330 Medical Plaza Dr Charleston SC 29406-9104 |
Practice Telephone | 8438474100 |
Practice Fax Number | 8438474086 |
Mailing Telephone | 8438477000 |
Mailing Fax Number | 8438474086 |
Enumeration Date | 2014-02-24 |
Last Update Date | 2019-10-31 |
Authorized Official Name | ANDY S. MILLER (CFO) |
Authorized Official Telephone | 8438474100 |
Is Organization Subpart | Y |
Parent Organization Name | TRIDENT MEDICAL CENTER, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
Other Name | Type Code |
---|---|
Low Country Transitions at Trident Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
1598189797 | Trident Medical Center, LLC | Rehabilitation Unit | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2014-02-07 |
1659579084 | Trident Medical Center, LLC | General Acute Care Hospital | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2007-07-06 |
1912029612 | Trident Medical Center, LLC | Clinic/Center | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2007-04-04 |
1386721405 | Trident Medical Center, LLC | General Acute Care Hospital | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2006-11-01 |
1932282258 | Trident Medical Center, LLC | Skilled Nursing Facility | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2006-10-23 |
1861447773 | Trident Medical Center, LLC | General Acute Care Hospital | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2006-05-23 |
1588619498 | Trident Medical Center, LLC | Skilled Nursing Facility | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2006-05-23 |
Street Address |
9330 MEDICAL PLAZA DR |
City | CHARLESTON |
State | SC |
Zip Code | 29406-9104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285632638 | Thomas A Privett | Psychiatry & Neurology | 9330 Medical Plaza Dr, Charleston, SC 29406 | 2005-07-11 |
1740896380 | Robert Palmer Wolfrom | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-09-18 |
1801415872 | Holly Robinson | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-04-10 |
1578192951 | Destine Hoover | Pharmacist | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-04-07 |
1134751829 | Julie Ivester Hayler | Nurse Practitioner | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-02-10 |
1659903078 | Elizabeth Mary Chouinard | Registered Nurse | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-02-05 |
1174018162 | Priscilla Hurt | Social Worker | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2018-06-22 |
1669965810 | Jacquelyn Suzette Ammons | Nurse Practitioner | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2018-06-12 |
1396249819 | Jennifer L Allmon | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr, Charleston, SC 29406 | 2018-03-20 |
1609395458 | Mason Patrick Weisgarber | Physician Assistant | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2017-09-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
Find all providers in zip 29406 |
Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265421226 | Charleston Area Medical Center Inc | Psychiatric Unit | 501 Morris St, Charleston, WV 25301-1326 | 2005-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326095324 | Prisma Health-midlands | Psychiatric Unit | 3301 Harden Street 11 Medical Park, Columbia, SC 29203-6897 | 2006-05-27 |
1598717316 | Prisma Health-midlands | Psychiatric Unit | 1330 Taylor At Marion Street, Columbia, SC 29201-0000 | 2006-05-17 |
1902864283 | The Regional Medical Center of Orangeburg and Calhoun Counties | Psychiatric Unit | 3000 St Matthews Rd, Orangeburg, SC 29118-1498 | 2006-05-03 |
1033681630 | Spartanburg Medical Center | Psychiatric Unit | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2018-12-20 |
1861996142 | Kershaw Hospital LLC | Psychiatric Unit | 1315 Roberts St, Camden, SC 29020-3737 | 2018-03-21 |
1972014728 | Grand Strand Regional Medical Center, LLC | Psychiatric Unit | 5050 Highway 17 Byp S, Myrtle Beach, SC 29588-4500 | 2017-10-19 |
1386038115 | Lancaster Hospital Corporation | Psychiatric Unit | 800 W Meeting St, Lancaster, SC 29720-2202 | 2015-03-18 |
1376829952 | Walterboro Community Hospital, Inc. | Psychiatric Unit | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2011-10-27 |
1740314681 | Qhg of South Carolina Inc | Psychiatric Unit | 121 E Cedar St, Florence, SC 29506 | 2007-03-15 |
1649332453 | Stokes Jerome Smith Jr. | Psychiatric Unit | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-12-15 |
Find all providers with the same taxonomy |
City | CHARLESTON |
Zip Code | 29406 |
Please comment or provide details below to improve the information on TRIDENT MEDICAL CENTER, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.