Jessie Trice Community Health Center Inc
LBN: Jessie Trice Community Health System, Inc
Jessie Trice Community Health Center Inc is an health care organization with primary practice located at 5361 Nw 22Nd Ave , Miami FL 33142-8035. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Jessie Trice Community Health System, Inc can be contacted via phone (305) 637-6400, or through Neasman, Annie R. via phone (305) 805-1700.
Contact Information
Primary practice address
5361 Nw 22Nd Ave
Miami FL 33142-8035
Phone: (305) 637-6400
Fax: (305) 805-1715
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Community/Behavioral Health | 251S00000X | ||
Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 5143177 | Florida |
Profile Details
NPI number | 1689605362 |
---|---|
LBN Legal business name | Jessie Trice Community Health System, Inc |
DBA Doing business as | Jessie Trice Community Health Center Inc |
Authorized official | Neasman, Annie R. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Mar 23rd, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689605362 | NPPES |
Florida | MEDICAID | 029541800 | |
Florida | MEDICAID | 060826200 | |
Florida | MEDICAID | 029541801 |
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