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CH04271Q TRENTON MEDICAL CENTER (Active)
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Main Details
Name
TRENTON MEDICAL CENTER
Subdivision Name
Palms Medical Group - Live Oak SCSB
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035535
340B ID
CH04271Q
Grant Number
H80CS00691
Additional Details
Current Program Status
Active
Registration Date
10/17/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/18/2022
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
300 Pinewood Dr.
Live Oak, FL 32064-4029
Billing Address
Palms Medical Group
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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