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CH04271P TRENTON MEDICAL CENTER INC (Active)
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Main Details
Name
TRENTON MEDICAL CENTER INC
Subdivision Name
Palms Medical Group - Lake City West
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030094
340B ID
CH04271P
Grant Number
H80CS00691
Additional Details
Current Program Status
Active
Registration Date
1/27/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/30/2020
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Trenton Medical Center, Inc.
Anita Rembert, CEO
(352) 463-4501
Primary Contact
Trenton Medical Center Inc.
Charles Turley, Pharmacy Director
(352) 463-4511 Ext: 1000
Addresses
Street Address
4784 W US Highway 90
Lake City, FL 32055-3101
Billing Address
Palms Medical Group Inc
23476 NW 186th Ave
High Springs, FL 32643
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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