Provider Demographics
NPI:1770517658
Name:NHC CHARLESTON
Entity type:Organization
Organization Name:NHC CHARLESTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UBO MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-794-6071
Mailing Address - Street 1:110 NNPTC CIRCLE
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445
Mailing Address - Country:US
Mailing Address - Phone:843-794-6088
Mailing Address - Fax:
Practice Address - Street 1:110 NNPTC CIRCLE
Practice Address - Street 2:UBO/TPC
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445
Practice Address - Country:US
Practice Address - Phone:843-794-6088
Practice Address - Fax:843-794-6042
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NHC CHARLESTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-10
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient