TRENTON MEDICAL CENTER, INC. (NPI# 1588086060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588086060 |
| Entity Type | Organization |
| Organization Name | TRENTON MEDICAL CENTER, INC. |
| Other Organization Name | PALMS MEDICAL GROUP |
| Practice Address |
23476 W Us Highway 27 High Springs FL 32643-2108 |
| Mailing Address |
23343 Nw County Road 236 High Springs FL 32643-9669 |
| Practice Telephone | 3864540568 |
| Practice Fax Number | 3522247899 |
| Mailing Telephone | 3864540698 |
| Mailing Fax Number | 3864540690 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | MRS. ANITA H RIELS (CEO) |
| Authorized Official Telephone | 3524632374 |
| 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 |
| Other Name | Type Code |
|---|---|
| Palms Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730587072 | Trenton Medical Center, Inc. | Clinic/Center | 2021 Professional Center Dr., Orange Park, FL 32073-4461 | 2014-12-19 |
| 1679122337 | Trenton Medical Center, Inc. | Pharmacy | 4784 W Us Highway 90, Lake City, FL 32055-3101 | 2019-09-05 |
| 1346723301 | Trenton Medical Center, Inc. | Pharmacy | 410 N Main St, Chiefland, FL 32626-0866 | 2018-09-14 |
| 1124432042 | Trenton Medical Center, Inc. | Clinic/Center | 211 Ranchera St Nw, Live Oak, FL 32064 | 2014-06-18 |
| 1124442355 | Trenton Medical Center, Inc. | Family Medicine | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2014-02-07 |
| Street Address |
23476 W US HIGHWAY 27 |
| City | HIGH SPRINGS |
| State | FL |
| Zip Code | 32643-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450773 | Kim Marie Davidson | Family Medicine | 23476 W Us Highway 27, High Springs, FL 32643 | 2005-10-11 |
| 1871119628 | Kristina Thompson | Nurse Practitioner | 23476 W Us Highway 27, High Springs, FL 32643-2108 | 2020-06-17 |
| 1528334638 | Lakennya S Hutchinson | Nurse Practitioner | 23476 W Us Highway 27, High Springs, FL 32643-2108 | 2012-03-23 |
| 1184833097 | Dessie D Meltzer | Nurse Practitioner | 23476 W Us Highway 27, High Springs, FL 32643-2108 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003375726 | Bahman Sahranavard Sr. | Counselor | Rania Main St., Rania, SOLAYMAIA 32643 | 2019-03-13 |
| 1396224036 | Roszina Williams | Nurse's Aide | 18998 Nw 253 Street, High Springs, FL 32643 | 2018-08-13 |
| 1760700637 | High Springs Pediatrics LLC | Pediatrics | 210 Nw 1st Avenue, High Springs, FL 32643 | 2010-05-17 |
| 1306094800 | Cox & Hanley Dmd Plc | Dentist | 23321 N. W. Cr 236, High Springs, FL 32643 | 2008-09-09 |
| 1013119940 | Gene H. Petteway | Pharmacist | 1080 N W Santa Fe Blvd, High Sprngs, FL 32643 | 2007-06-04 |
| 1538381363 | Ian C Dennis | Dentist | 60 South Main Street, High Springs, FL 32643 | 2007-05-02 |
| 1831231000 | Craig Gardner | Massage Therapist | 220 Nw 4th St, High Springs, FL 32643 | 2007-02-13 |
| 1689722779 | Nancy L Linkous | Massage Therapist | 425 Ne Santa Fe Blvd., High Springs, FL 32643 | 2007-01-08 |
| 1356362651 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 20303 N Us Hwy 441, High Springs, FL 32643 | 2006-07-21 |
| 1417901125 | Sheryl Marie Heath | Nurse Practitioner | 9513 Nw Sr 45, High Springs, FL 32643 | 2006-05-19 |
| Find all providers in zip 32643 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | HIGH SPRINGS |
| Zip Code | 32643 |
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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.