| Trident Medical Center, Llc | |
|
9330 Medical Plaza Dr Charleston SC 29406-9104 | |
| (843) 847-4100 | |
| (843) 847-4086 |
| Full Name | Trident Medical Center, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 9330 Medical Plaza Dr, Charleston, South Carolina |
| Authorized Official Name and Position | Andy S. Miller (CFO) |
| Authorized Official Contact | 8438474100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Medical Center, Llc 9330 Medical Plaza Dr Charleston SC 29406-9104 Ph: (843) 847-7000 | Trident Medical Center, Llc 9330 Medical Plaza Dr Charleston SC 29406-9104 Ph: (843) 847-4100 |
| NPI Number | 1124443478 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 10/01/2025 |
| Certification Date | 10/01/2025 |
| Medicare PECOS PAC ID | 3971553587 |
|---|---|
| Medicare Enrollment ID | O20141112002495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124443478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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