TRENTON MEDICAL CENTER INC (NPI# 1508048596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508048596 |
| Entity Type | Organization |
| Organization Name | TRENTON MEDICAL CENTER INC |
| Other Organization Name | PALMS MEDICAL GROUP |
| Practice Address |
103 U.S. Highway 27 Sw Branford FL 32008-3048 |
| Mailing Address |
23343 Nw County Road 236 High Springs FL 32643-9669 |
| Practice Telephone | 3869353090 |
| Practice Fax Number | 3869353198 |
| Mailing Telephone | 3864540698 |
| Mailing Fax Number | 3864540690 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | ANITA H. RIELS (CEO) |
| Authorized Official Telephone | 3524634501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029506007 | 05 |
| Other Name | Type Code |
|---|---|
| Palms Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942676168 | Trenton Medical Center Inc | Pharmacy | 103 Us Highway 27 Sw, Branford, FL 32008-2767 | 2015-08-12 |
| 1336399260 | Trenton Medical Center Inc | Clinic/Center | 410 N Main Street, Suite 1 and 2, Chiefland, FL 32626-1951 | 2008-09-29 |
| 1740513928 | Trenton Medical Center Inc | Clinic/Center | 1014 Nw 57th St, Gainesville, FL 32605-4486 | 2009-09-07 |
| 1255577631 | Trenton Medical Center Inc | Clinic/Center | 630 N Main St, Williston, FL 32696-1705 | 2009-01-06 |
| 1801826268 | Trenton Medical Center Inc | Clinic/Center | 911 S Main St, Trenton, FL 32693-3239 | 2006-07-03 |
| Street Address |
103 U.S. HIGHWAY 27 SW |
| City | BRANFORD |
| State | FL |
| Zip Code | 32008-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130548 | Kellie Ann White | Nurse Practitioner | 103 Us Highway 27, Branford, FL 32008 | 2020-07-01 |
| 1609382795 | Kristin Hope Mcintosh | Nurse Practitioner | 103 Us-27, Branford, FL 32008 | 2017-12-27 |
| 1457749897 | Holly M Reed | Registered Nurse | 103 Us Hwy 27, Branford, FL 32008 | 2015-01-08 |
| 1891874707 | Florida Department of Health | Public Health or Welfare | 120 Suwannee Ave, Branford, FL 32008 | 2006-11-02 |
| 1194140319 | Janice Baucom | Nurse Practitioner | 109 S.w. Savannah Ave., Branford, FL 32008 | 2014-02-25 |
| 1659487049 | Nancy Lee Cooper | Chiropractor | 13159 East Us Hwy 27, Branford, FL 32008-0396 | 2006-08-21 |
| 1568657716 | Cooper Chiropractic, Inc. | Chiropractor | 13159 East Us Hwy 27, Branford, FL 32008-0396 | 2007-09-11 |
| 1437461969 | Tracy D. Lamb | Developmental Therapist | 26082 Hwy 247, Branford, FL 32008-0744 | 2010-07-13 |
| 1639199243 | Bienvenido Samera | Family Medicine | 303 Suwannee Ave, Branford, FL 32008-0846 | 2006-07-20 |
| 1881246155 | Ajm Transport Company LLC | Non-emergency Medical Transport (VAN) | 4352 282nd Ter, Branford, FL 32008-2374 | 2019-07-16 |
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| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.