TRENTON MEDICAL CENTER INC. NPI 1740901743

NPI Information

NPI: 1740901743
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)

Address:
300 PINEWOOD DR. SW
LIVE OAK, FL
ZIP 32064
Phone: (386) 647-4690
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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 1740901743. 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:

300 PINEWOOD DR. SW
LIVE OAK, FL
ZIP 32064
Phone: (386) 647-4690
Fax: (386) 647-4691

The provider's authorized official is Anita H. Rembert .
The authorized official title is Ceo and has the following contact phone number (352) 463-4501.

The CLIA number assigned to this NPI record is 10D2268944 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/7/2022 and was last updated on 2/14/2024.

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

NPI Synchronization or Removal

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