JESSIE TRICE COMMUNITY HEALTH SYSTEM INC NPI 1689605362

NPI Information

  • NPI: 1689605362
  • Provider Name: JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: JTCHS FATIMA ZAFAR MD HEALTH WELLNESS CENTER
  • Address: 5361 NW 22ND AVE
    MIAMI, FL
    ZIP 33142
  • Phone: (305) 637-6400

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NPI Details

JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC is a federally qualified health center (fqhc) clinic center in Miami, FL. JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC NPI is 1689605362. The provider is registered as an organization entity type.
The provider Other Name Is Jtchs Fatima Zafar Md Health Wellness Center.

The provider's business location address is:

5361 NW 22ND AVE
MIAMI, FL
ZIP 33142-035
Phone: (305) 637-6400
Fax: (305) 636-5155

The provider's authorized official is Ryan R. Hawkins .
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 7/5/2006 and was last updated on 11/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QC1500XClinic/CenterCommunity HealthNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)5143177FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
4029541801MEDICAIDFLORIDA
3060826200MEDICAIDFLORIDA
2053833700MEDICAIDFLORIDA
1029541800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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