TRENTON MEDICAL CENTER, INC. (NPI# 1730587072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730587072 |
| Entity Type | Organization |
| Organization Name | TRENTON MEDICAL CENTER, INC. |
| Other Organization Name | PALMS MEDICAL GROUP |
| Practice Address |
2021 Professional Center Dr. Orange Park FL 32073-4461 |
| Mailing Address |
23343 Nw County Road 236 High Springs FL 32643-9669 |
| Practice Telephone | 3864540698 |
| Mailing Telephone | 3864540698 |
| Mailing Fax Number | 3864540690 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2018-09-14 |
| Authorized Official Name | MRS. ANITA H. RIELS (C.E.O.) |
| Authorized Official Telephone | 3864540698 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1588086060 | Trenton Medical Center, Inc. | Clinic/Center | 23476 W Us Highway 27, High Springs, FL 32643-2108 | 2014-01-17 |
| Street Address |
2021 PROFESSIONAL CENTER DR. |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 | ORANGE PARK |
| Zip Code | 32073 |
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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.