Organization · Type 2 NPI

Jessie Trice Community Health System Inc

Federally Qualified Health Center (FQHC) · Miami Gardens, FL

NPI number 1760644397 Active

Practice location

15800 NW 42nd Ave
Miami Gardens, FL 33054-6155

Call (305) 637-6400 Map

Fax (305) 636-5155

Mailing address

5607 NW 27th Ave, Ste 1
Miami, FL 33142-2826

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

Other federally qualified health center (fqhc) providers in Miami Gardens

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NPI record

NPI: 1760644397
Entity type: Organization (Type 2)
Issued: Jun 25, 2008
Last updated: Nov 26, 2024
Status: Active

Other names

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Jessie Trice Community Health Center Inc · former legal business name
Florida Memorial University Wellness Center · other name

Authorized official

Ryan R Hawkins
President and CEO
(305) 805-1700

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About NPI 1760644397

Jessie Trice Community Health System Inc's National Provider Identifier is 1760644397, issued on Jun 25, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Miami Gardens, FL. The record was last updated on Nov 26, 2024.