Organization · Type 2 NPI

Jessie Trice Community Health System Inc

Federally Qualified Health Center (FQHC) · Carol City, FL

NPI number 1861863458 Active

Practice location

3301 Miami Gardens Drive
Carol City, FL 33056-2999

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...

NPI record

NPI: 1861863458
Entity type: Organization (Type 2)
Issued: Oct 8, 2015
Last updated: Oct 23, 2026
Status: Active

Other names

<unavail>
Jessie Trice Community Health Center Inc · former legal business name
Miami Carol City Senior High School · other name
Miami Carol City Senior High School · other name

Authorized official

Ryan R Hawkins
President/ceo
(305) 805-1700

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861863458

Jessie Trice Community Health System Inc's National Provider Identifier is 1861863458, issued on Oct 8, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Carol City, FL. The record was last updated on Oct 23, 2026.