NPIMap

Trenton Medical Center Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Branford, FL

NPI 1508048596 · NPPES record last updated Jan 10, 2025

Key facts

NPI
1508048596
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
TRENTON MEDICAL CENTER INC
Practice address
103 U.S. Highway 27 SW
Branford, FL 32008-3048
Phone
(386) 935-3090
Fax
(386) 935-3198
NPI assigned
Nov 30, 2007
Organization subpart
No

Authorized official

Name
Anita H. Rembert
Title
Ceo
Phone
(386) 454-0698

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 77

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1082146Palms Medical Group
103 US Hwy 27 SW, Branford, FL 32008		Provider-performed microscopyApr 1, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Federally qualified health center certification: CCN 101823

Legal name
TRENTON MEDICAL CENTER INC
Doing business as
PALMS MEDICAL GROUP
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 20, 2008
Last certification
May 20, 2008
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jan 14, 1988 in FL
Enrollment address
103 US Highway 27 SW
Branford, FL 32008-2767

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen Elder
Individual 		Corporate Director
Board Member		 Sep 20, 2018
Sarah Catalanotta
Individual 		Corporate Director
President		 Nov 1, 2014
Andrew Jones
Individual 		Corporate Director
Cfo		 Oct 16, 2023
Gail M Osteen
Individual 		Corporate Director
Board Member		 Jan 2, 2008
Anita Rembert
Individual 		Corporate Director Feb 28, 2010
W-2 Managing Employee Feb 28, 2010
Charles E Hatch
Individual 		Corporate Director
Secretary		 Jan 2, 2008
Clifton E Bradley
Individual 		Corporate Director
Vice President		 Jan 2, 2008
Julie Calvitt
Individual 		Corporate Director Dec 7, 2023
Melissa Snodgrass
Individual 		Corporate Director May 4, 2022
Marilyn T Thompson
Individual 		Corporate Director
Board Member		 Jan 2, 2008
Linda D Walker
Individual 		Corporate Director
Board Member		 Jan 2, 2008
Juan B Henley
Individual 		Corporate Director
Treasurer		 Jan 2, 2008

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Palms Medical Group
Williston, FL · CCN 101031		 Federally qualified health center Operational/Managerial Control (100%) Feb 27, 2014
Palms Medical Group
Starke, FL · CCN 101060		 Federally qualified health center Operational/Managerial Control (100%) Feb 27, 2014
Palms Medical Group
Gainesville, FL · CCN 101076		 Federally qualified health center Operational/Managerial Control (100%) Feb 27, 2014
Palms Medical Group
Chiefland, FL · CCN 101124		 Federally qualified health center Operational/Managerial Control Feb 27, 2014
Palms Medical Group
Live Oak, FL · CCN 101158		 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2014
Palms Medical Group, Family Healthcare Center of Columbia County
High Springs, FL · CCN 101175		 Federally qualified health center Operational/Managerial Control (100%) Feb 27, 2014
Palms Medical Group
Lake City, FL · CCN 681168		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 10, 2020
Palms Medical Group
Orange Park, FL · CCN 101883		 Federally qualified health center Operational/Managerial Control (100%) Oct 10, 2022
Palms Medical Group
Fleming Island, FL · CCN 691196		 Federally qualified health center Operational/Managerial Control Jul 24, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050428000865 FL Part B Supplier - Clinic/Group Practice 2365359387 Receives reassigned benefits from 129 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lake City, FL; Williston, FL; Trenton, FL; Starke, FL; Orange Park, FL; Live Oak, FL; High Springs, FL; Gainesville, FL…
O20080103000628 FL Part a Provider - Federally Qualified Health Center (FQHC) 2365359387 Practice locations: Branford, FL

National Provider Directory

Locations

211 Ranchera St NW
Live Oak, FL 32064
Phone (386) 364-1751

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

103 U.S. Highway 27 SW
Branford, FL 32008-3048

Mailing address

23476 NW 186TH Ave
High Springs, FL 32643-0673
Phone (386) 454-0698

Other identifiers

IdentifierTypeStateIssuer
029506007MedicaidFL

Other names

  • Palms Medical Group Doing business as

Other providers in Branford, FL

All providers in Branford, FL · Federally Qualified Health Center (FQHC) in Florida

Sources for this page

Verify at the official NPI Registry.