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 1190 Nw 95Th St Ste 100 , Miami FL 33150-2064. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as 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) 637-6400.

Contact Information

Primary practice address
1190 Nw 95Th St Ste 100 Miami FL 33150-2064
Phone: (305) 637-6400
Fax: (305) 805-1715
Website:
Map and Directions
Authorized official contact:
Name: Neasman, Annie R
Phone: (305) 637-6400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1831352624
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 2nd, 2008
Last updated Mar 23rd, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831352624 NPPES
Florida MEDICAID 029541802

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