TRIDENT MEDICAL CENTER, LLC


Address: 9330 Medical Plaza Dr, Charleston, SC 29406-9104
Phone: 8438474100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit Hospital Units

Other Provider/Organization Names

Other Name Type Code
Low Country Transitions at Trident Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 9330 MEDICAL PLAZA DR
City CHARLESTON
State SC
Zip Code 29406-9104

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265421226 Charleston Area Medical Center Inc Psychiatric Unit 501 Morris St, Charleston, WV 25301-1326 2005-10-20

Providers in the same taxonomy and state

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
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Competitor

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City CHARLESTON
Zip Code 29406

Improve Information

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Dataset Information

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.

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