Jessie Trice Community Health System Inc in Miami - Federally Qualified Health Center (fqhc)
Jessie Trice Community Health System Inc - NPI 1114180908
Jessie Trice Community Health System Inc is a Federally Qualified Health Center (fqhc) in Miami, Florida. Jessie Trice Community Health System Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Jessie Trice Community Health System Inc is 1114180908. The last update date is 2020-03-18.
Jessie Trice Community Health System Inc's current location address is 5607 Nw 27th Ave, Miami, Florida. You can contact this provider via phone number 3058051700 and fax number 3058051715. The mailing address for Jessie Trice Community Health System Inc is 5607 Nw 27th Ave, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jessie Trice Community Health System Inc |
|---|---|
| Address | 5607 Nw 27th Ave, Miami, Florida |
| Phone Number | 3058051700 |
| Fax Number | 3058051715 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Neasman R Annie |
| Telephone Number | 3058051700 |
NPI Number Detail
| NPI Number | 1114180908 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2020-03-18 |
Provider Mailing Address Detail
| Address | 5607 Nw 27th Ave |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331422826 |
| Phone Number | 3058051700 |
| Fax Number | 3058051715 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29541862 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jessie Trice Community Health System Inc?
The Jessie Trice Community Health System Inc has been issued the NPI (National Provider Identifier) 1114180908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jessie Trice Community Health System Inc is physically located?
The Jessie Trice Community Health System Inc is physically situated at the following address: 5607 Nw 27Th Ave, Miami, FL, 331422826.
What is Jessie Trice Community Health System Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessie Trice Community Health System Inc's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
When was the Jessie Trice Community Health System Inc's 1114180908 issued?
The Jessie Trice Community Health System Inc's 1114180908 was issued on 2008-07-02.
As of what date were the details related to Jessie Trice Community Health System Inc most recently updated or revised?
The information pertaining to Jessie Trice Community Health System Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-18.