TRIDENT MEDICAL CENTER, LLC – NPI #1063813111
Clinic/Center

TRIDENT MEDICAL CENTER, LLC is an AHC clinic located in NORTH CHARLESTON, SC. NPPES has assigned the NPI number 1063813111 to TRIDENT MEDICAL CENTER, LLC on September 09, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was last updated on Oct 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRIDENT MEDICAL CENTER, LLC below.

NPI Profile for
TRIDENT MEDICAL CENTER, LLC

NPI Number
1063813111
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRIDENT MEDICAL CENTER, LLC
Other name(s)
All associated names:
Doing Business As (dba)
Centre Pointe Emergency of HCA Healthcare Trident Hospital
Doing Business As (dba)
Centre Pointe Emergency of Trident Medical Center
Primary location
5249 EMMETT I. DAVIS JR. AVENUE
NORTH CHARLESTON, SC 29405
Phone: (843) 746-2400 Fax: (843) 744-9700
Mailing address
Same as primary location
Organization Subpart
Yes - TRIDENT MEDICAL CENTER, LLC is subpart of another organization.
Authorized Official
ANDY MILLER
CFO
Phone: (843) 847-4100
Updated
Certification Date
Oct 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.