| Jessie Trice Community Health System Inc | |
|
5361 Nw 22nd Ave # M1 Miami FL 33142-8035 | |
| (305) 637-6400 | |
| (305) 805-1715 |
| Full Name | Jessie Trice Community Health System Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5361 Nw 22nd Ave # M1, Miami, Florida |
| Authorized Official Name and Position | Annie R Neasman (PRESIDENT/CEO) |
| Authorized Official Contact | 3058051700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie Trice Community Health System Inc 5607 Nw 27th Ave Ste 1 Miami FL 33142-2826 Ph: (305) 805-1700 | Jessie Trice Community Health System Inc 5361 Nw 22nd Ave # M1 Miami FL 33142-8035 Ph: (305) 637-6400 |
| NPI Number | 1306452438 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306452438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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