{
"Npi": {
"NPI": "1265344071",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRENTON MEDICAL CENTER, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "23476 NW 186TH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HIGH SPRINGS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32643-0673",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-454-0698",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2620 BLANDING BLVD STE 14",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIDDLEBURG",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32068-9109",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-736-1144",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/18/2026",
"LastUpdateDate": "09/18/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REMBERT",
"AuthorizedOfficialFirstName": "ANITA",
"AuthorizedOfficialMiddleName": "H.",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "352-463-4501",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QF0400X",
"TaxonomyName": "Federally Qualified Health Center (FQHC)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}