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NPI Code Detail

MEDICARE: TRENTON MEDICAL CENTER, INC.

MEDICARE: TRENTON MEDICAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1588086060
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRENTON MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 23476 NW 186TH AVE
Second Line :
City : HIGH SPRINGS
State : FL
Zip : 32643-0673
Country : US
Telephone Number : 386-454-0698
Fax Number : 386-454-0690
Provider Business Practice Location Address
First Line : 16916 NW US HIGHWAY 441
Second Line :
City : HIGH SPRINGS
State : FL
Zip : 32643-8102
Country : US
Telephone Number : 386-454-0568
Fax Number : 352-224-7899
Authorized Official
Title or Position : CEO
Name : MRS. ANITA H REMBERT
Credential :
Telephone Number : 386-454-0698
Provider Enumeration Date : 01/17/2014
Last Update Date : 01/10/2025

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Directions to “TRENTON MEDICAL CENTER, INC. ” Practice Location

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