Organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
Active
Parent organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
Other names
Jessie Trice Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
Authorized official
RYAN R HAWKINS (PRESIDENT/CEO)
(305) 805-1700
Entity
Organization
Contact information
Practice address
5361 NW 22ND AVE # M1, 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
09/23/2020
Last updated
11/26/2024
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