Trident Senior Health Center

LBN: Trident Senior Health Center
Trident Senior Health Center is an health care organization with primary practice located at 2070 Northbrook Blvd #A16, Charleston SC 29406-9252. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Trident Senior Health Center can be contacted via phone (843) 797-0416, or through Lloyd, Tim via phone (843) 797-0416.

Contact Information

Primary practice address
2070 Northbrook Blvd #A16 Charleston SC 29406-9252
Phone: (843) 797-0416
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lloyd, Tim
Phone: (843) 797-0416

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1467497206
LBN Legal business name Trident Senior Health Center
DBA Doing business as
Authorized official Lloyd, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467497206 NPPES
South Carolina MEDICAID GP1196

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