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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1831352624 | NPPES |
| Florida | MEDICAID | 029541802 |
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