Organization Name: | TRENTON MEDICAL CENTER INC |
NPI Number: | 1336399260 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANITA H. RIELS (CEO) |
Mailing Address: | 2010 N Young Blvd Chiefland |
State: | FL US |
Postal Code: | 326261951 |
Phone Number: | 3524632374 |
Fax Number: | 3524632726 |
NPI Enumeration Date: | 09/29/2008 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |