NPIMap

Organization Active NPI

South Carolina Dhec

Doing business as Trident CRS

  • Public Health or Welfare Agency
  • Charleston, SC
National Provider Identifier
1487711958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SOUTH CAROLINA DHEC
Doing business as
Trident CRS
Practice address
4050 Bridge View Dr
Suite 600
Charleston, SC 29405-7488
Phone
(843) 792-3561
Fax
(843) 792-4695
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Raymond Douglas Calvert
Title
Chief of Staff
Phone
(803) 898-3305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

4050 Bridge View Dr
Suite 600
Charleston, SC 29405-7488

Mailing address

1751 Calhoun St
Columbia, SC 29201-2606
Phone (803) 898-0288

Other identifiers 3

IdentifierTypeStateIssuer
000000157080OtherSCUNISON HEALTH PLAN OF SC
20021675OtherSCSELECT HEALTH PROVIDER #
DHEC49MedicaidSC

Other names 1

  • Trident CRS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anderson County Health Dept280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487711958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 CALHOUN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012606",
            "telephone_number": "803-898-0288",
            "fax_number": "803-898-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 BRIDGE VIEW DR",
            "address_2": "SUITE 600",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294057488",
            "telephone_number": "843-792-3561",
            "fax_number": "843-792-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA DHEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "803-898-3305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN OF SC",
            "identifier": "000000157080",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH PROVIDER #",
            "identifier": "20021675",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DHEC49",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trident CRS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.