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Organization

JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC

Active
Other names
Jessie Trice Community Health Center Inc, JTCHS Opa Locka Children & Youth Wellness Center
Organization subpart
No

Provider details

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

Contact information

Practice address
490 OPA LOCKA BLVD STE 100, OPA LOCKA, FL 33054-3563
(305) 637-6400
(305) 636-5155
Mailing address
5607 NW 27TH AVE, SUITE 1, MIAMI, FL 33142-2826
(305) 637-6400
(305) 805-1715

Taxonomy

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

Other

Enumeration date
09/30/2015
Last updated
11/26/2024
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