Organization
TRIDENT MEDICAL CENTER, LLC
Active
Other names
HCA Healthcare Trident Hospital, Trident Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCKEOWN (CFO)
(843) 847-4254
Entity
Organization
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-7000
(843) 847-4086
Mailing address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-7000
(843) 847-4086
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00096542
—
MS
05
—
00881944X
—
GA
05
—
01601129
—
KY
05
—
016119109
—
MO
05
—
032516900
—
DC
05
—
1000037000
—
DE
05
—
10025100800
—
NE
05
—
1004107
—
MA
01
—
10043717
GATEWAY MEDICAID
—
05
—
100506046
—
NV
05
—
100698030A
—
OK
01
—
1537918
UNITED MINE WORKERS
—
05
—
158181105
—
AR
01
—
166376800
DEPT OF LABOR
—
05
—
1745936
—
LA
05
—
200241300A
—
IN
05
—
200357120A
—
KS
05
—
269338
—
SC
01
—
272545
BLACK LUNG
—
05
—
3025186
—
WA
05
—
304744932
—
MI
05
—
30696
—
PA
01
—
420079
HIGHMARK BLUE CROSS
—
05
—
4200790
—
RI
05
—
4200799
—
VA
05
—
4212304
—
NJ
01
—
5000221
PHYSICIANS HEALTH PLAN
—
01
—
6699
BLUE CARE
—
05
—
733728
—
OH
05
—
81237100
—
WI
05
—
873192
—
AZ
05
—
909075400
—
FL
05
—
978634
—
NY
05
—
TRI0079N
—
AL
05
—
XHSP33273
—
CA
Enumeration date
05/19/2006
Last updated
11/06/2025
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