JESSIE TRICE COMMUNITY HEALTH SYSTEM INC NPI 1740442375

NPI Information

JESSIE TRICE COMMUNITY HEALTH SYSTEM INC is a federally qualified health center (fqhc) clinic center in Hialeah, FL. JESSIE TRICE COMMUNITY HEALTH SYSTEM INC NPI is 1740442375. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Jessie Trice Community Health Center Inc.

The provider's business location address is:

901 E 10TH AVE
BAY 39
HIALEAH, FL
ZIP 33010-762
Phone: (305) 637-6400
Fax: (305) 805-1715

The provider's authorized official is Annie R. Neasman .
The authorized official title is President And Ceo and has the following contact phone number (305) 805-1700.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 3/18/2020.

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:

Other Identifiers

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

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