| Organization Name: | TRIDENT MEDICAL CENTER, LLC |
| NPI Number: | 1063813111 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL GINGRAS (CFO) |
| Mailing Address: | 5249 Emmett I. Davis Jr. Avenue North Charleston |
| State: | SC US |
| Postal Code: | 29405 |
| Phone Number: | 8437462400 |
| Fax Number: | 8437449700 |
| NPI Enumeration Date: | 09/09/2014 |
| NPI Last Update Date: | 09/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |