Organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
Active
Other names
Jessie Trice Community Health Center, Inc, JTCHS Health Center at North Shore
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN R HAWKINS (PRESIDENT AND CEO)
(305) 637-6400
Entity
Organization
Contact information
Practice address
1190 NW 95TH ST STE 100, MIAMI, FL 33150-2064
(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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029541802
—
FL
Enumeration date
07/02/2008
Last updated
11/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us