TRIDENT MEDICAL CENTER, LLC (NPI# 1588619498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588619498 |
| Entity Type | Organization |
| Organization Name | TRIDENT MEDICAL CENTER, LLC |
| Other Organization Name | TRIDENT MEDICAL CENTER |
| Practice Address |
9330 Medical Plaza Dr Charleston SC 29406-9104 |
| Practice Telephone | 8438477000 |
| Practice Fax Number | 8437974086 |
| Mailing Telephone | 8438477000 |
| Mailing Fax Number | 8437974086 |
| Enumeration Date | 2006-05-23 |
| 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 | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| 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 |
| 1124443478 | Trident Medical Center, LLC | Psychiatric Unit | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2014-02-24 |
| 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 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972018026 | Wellmore of Daniel Island LLC | Skilled Nursing Facility | 580 Robert Daniel Drive, Charleston, SC 29492 | 2017-12-12 |
| 1578983417 | Cabell Health Care Center, LLC | Skilled Nursing Facility | 240 Capitol St, Suite 500, Charleston, WV 25301-2221 | 2014-04-18 |
| 1598890519 | White Oak Manor Inc | Skilled Nursing Facility | 9285 Medical Plaza Dr, Charleston, SC 29406-9126 | 2007-02-22 |
| 1326135500 | Thi of South Carolina At Charleston, LLC | Skilled Nursing Facility | 2375 Baker Hospital Blvd, Charleston, SC 29405-8233 | 2006-10-07 |
| 1962447037 | Health Care and Retirement Corporation of America LLC | Skilled Nursing Facility | 3819 Chesterfield Ave, Charleston, WV 25304-2647 | 2006-06-20 |
| 1003851940 | West Ashley Rehabilitation and Nursing Center-charleston Sc LLC | Skilled Nursing Facility | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 | 2006-06-17 |
| 1306887344 | Hr of Charleston, Inc. | Skilled Nursing Facility | 1000 Association Dr, North Gate Business Park, Charleston, WV 25311-1270 | 2006-06-09 |
| 1639126436 | Hilltop Nursing Home, Inc | Skilled Nursing Facility | 910 W Polk Ave, Charleston, IL 61920-1707 | 2006-05-27 |
| 1437116290 | Trinity Mission of Charleston, LLC | Skilled Nursing Facility | 2230 Ashley Crossing Dr, Charleston, SC 29414-5700 | 2006-04-26 |
| 1013978675 | Prairie View Care Center of Charleston, Inc. | Skilled Nursing Facility | 716 18th St, Charleston, IL 61920-2382 | 2006-03-31 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29406 |
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| 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.