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:
Map and Directions
Authorized official contact:
Name: Neasman, Annie R.
Phone: (305) 805-1700

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689605362 NPPES
Florida MEDICAID 029541800
Florida MEDICAID 060826200
Florida MEDICAID 029541801

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