Organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
Active
Other names
Jessie Trice Community Health Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN R HAWKINS (PRESIDENT/CEO)
(305) 637-6400
Entity
Organization
Contact information
Practice address
16401 NW 37TH AVE, MIAMI GARDENS, FL 33054-6313
(305) 637-6400
(305) 835-1598
Mailing address
5607 NW 27TH AVE, SUITE 1, MIAMI, FL 33142-2826
(305) 637-6400
(305) 835-1598
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
11/26/2024
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