| Jessie Trice Community Health System Inc | |
|
5607 Nw 27th Ave Ste 2 Miami FL 33142-2826 | |
| (305) 637-6400 | |
| (305) 636-5155 |
| Full Name | Jessie Trice Community Health System Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5607 Nw 27th Ave Ste 2, Miami, Florida |
| Authorized Official Name and Position | Annie R. Neasman (PRESIDENT AND 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) 637-6400 | Jessie Trice Community Health System Inc 5607 Nw 27th Ave Ste 2 Miami FL 33142-2826 Ph: (305) 637-6400 |
| NPI Number | 1760645550 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 03/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760645550 | NPI | - | NPPES |
| 029541810 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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