TRENTON MEDICAL CENTER INC. NPI 1124432042

NPI Information

NPI: 1124432042
Provider Name: TRENTON MEDICAL CENTER, INC.

Doing Business As: PALMS MEDICAL GROUP

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 10D2082404

Address:
211 RANCHERA ST NW
LIVE OAK, FL
ZIP 32064
Phone: (386) 364-1751
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TRENTON MEDICAL CENTER, INC. is a federally qualified health center (fqhc) clinic center in Live Oak, FL. TRENTON MEDICAL CENTER, INC. NPI is 1124432042. The provider is registered as an organization entity type.
The provider Is Doing Business As Palms Medical Group.

The provider's business location address is:

211 RANCHERA ST NW
LIVE OAK, FL
ZIP 32064
Phone: (386) 364-1751
Fax: (386) 364-1761

The provider's authorized official is Anita H Rembert .
The authorized official title is C.e.o. and has the following contact phone number (386) 454-0698.

The CLIA number assigned to this NPI record is 10D2082404 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/18/2014 and was last updated on 8/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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