NPI:
1518337880
Provider Name:
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
Doing Business As: JESSIE TRICE COMMUNITY HEALTH CENTER, INC.
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
490 OPA LOCKA BLVD STE 100
OPA LOCKA, FL
ZIP 33054
Phone:
(305) 637-6400
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JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC is a federally qualified health center (fqhc) clinic center in Opa Locka, FL. JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC NPI is 1518337880. The provider is registered as an organization entity type.
The provider Is Doing Business As Jessie Trice Community Health Center, Inc..
The provider's business location address is:
490 OPA LOCKA BLVD STE 100
OPA LOCKA, FL
ZIP 33054-563
Phone: (305) 637-6400
Fax: (305) 636-5155
The provider's authorized official is Annie R Neasman .
The authorized official title is President/ceo and has the following contact phone number (305) 805-1700.
The enumeration date for this NPI number is 9/30/2015 and was last updated on 3/23/2022.