Active NPI
NHC Charleston
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Goose Creek, SC
National Provider Identifier
1770517658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Legal business name
- NHC CHARLESTON
- Practice address
- 110 Nnptc Circle
Ubo/TPC
Goose Creek, SC 29445 - Phone
- (843) 794-6088
- Fax
- (843) 794-6042
- NPI assigned
- Jul 10, 2006
- Organization subpart
- Yes
- Parent organization
- NHC CHARLESTON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Valentine
- Title
- Ubo Manager
- Phone
- (843) 794-6071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Primary |
Addresses
Primary practice location
110 Nnptc Circle
Ubo/TPC
Goose Creek, SC 29445
Mailing address
110 Nnptc Circle
Goose Creek, SC 29445
Phone (843) 794-6088
National Provider Directory
National Provider Directory- Tax ID family
- NHC Charleston
- Part of
- NHC Charleston
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Military/U.S. Coast Guard Pharmacy
- Goose Creek, SC
- NPI 1841399011
Locations
110 Nnptc Cir
Goose Creek, SC 29445
Phone (843) 794-6000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748563200000",
"number": "1770517658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 NNPTC CIRCLE",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "29445",
"telephone_number": "843-794-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NNPTC CIRCLE",
"address_2": "UBO/TPC",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "29445",
"telephone_number": "843-794-6088",
"fax_number": "843-794-6042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NHC CHARLESTON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NHC CHARLESTON",
"enumeration_date": "2006-07-10",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A",
"authorized_official_last_name": "VALENTINE",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "UBO MANAGER",
"authorized_official_telephone_number": "843-794-6071"
},
"taxonomies": [
{
"code": "261QM1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.