JESSIE TRICE COMMUNITY HEALTH SYSTEM INC NPI 1740442375

NPI Information

  • NPI: 1740442375
  • Provider Name: JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: JTCHS FLAMINGO MEDICAL CENTER
  • Address: 901 E 10TH AVE STE 39
    HIALEAH, FL
    ZIP 33010
  • 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 Hialeah, FL. JESSIE TRICE COMMUNITY HEALTH SYSTEM INC NPI is 1740442375. The provider is registered as an organization entity type.
The provider Other Name Is Jtchs Flamingo Medical Center.

The provider's business location address is:

901 E 10TH AVE STE 39
HIALEAH, FL
ZIP 33010-766
Phone: (305) 637-6400
Fax: (305) 636-5155

The provider's authorized official is Ryan R. Hawkins .
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 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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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
1029541879MEDICAIDFLORIDA

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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