Trenton Medical Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Live Oak, FL
NPI 1740901743 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1740901743
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- TRENTON MEDICAL CENTER, INC.
- Practice address
- 300 Pinewood Dr. SW
Live Oak, FL 32064 - Phone
- (386) 647-4690
- Fax
- (386) 647-4691
- NPI assigned
- Sep 7, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- TRENTON MEDICAL CENTER INC
Authorized official
- Name
- Anita H. Rembert
- Title
- Ceo
- Phone
- (352) 463-4501
Corporate family (same tax ID) 14
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2268944 | Trenton Medical Center, Inc Dba | Provider-performed microscopy | Sep 19, 2026 |
National Provider Directory
- Tax ID family
- Trenton Medical Center Inc
- Part of
- Trenton Medical Center Inc
Locations
23476 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0568
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
300 Pinewood Dr. SW
Live Oak, FL 32064
Mailing address
23476 NW 186TH Ave
High Springs, FL 32643-0673
Phone (386) 454-0698
Other names
- Palms Medical Group
- PMG Live Oak SCSB
Other providers in Live Oak, FL
- Tiffany Topping
- Christina Joy Townsend
- Transcare Services, Inc.
- Trenton Medical Center, Inc.
- Trenton Medical Center, Inc.
- Trieu Foot Solutions LLC
- Twin Rivers Mental Health
- Doreen Vargas
- Tovah O Vargas
- Joshua Trent Vesely
All providers in Live Oak, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.