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Organization

JESSIE TRICE COMMUNITY HEALTH SYSTEM INC

Active
Other names
Jessie Trice Community Healt Center, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN R HAWKINS (CEO/PRESIDENT)
(305) 805-1700
Entity
Organization

Contact information

Practice address
5361 NW 22ND AVE # M2, MIAMI, FL 33142-8035
(305) 637-6400
(305) 636-5155
Mailing address
5607 NW 27TH AVE STE 1, MIAMI, FL 33142-2826
(305) 805-1700
(305) 805-1715

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
06/18/2021
Last updated
11/26/2024
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