JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
NPI 1023486735
Clinic/Center - Federally Qualified Health Center (FQHC) in Miami Gardens, FL

Q: What is Jessie Trice Community Health System Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 11, 2015CLIA 10D0954199 · Waiver

20612 NW 27TH AVE, MIAMI GARDENS, FL 33056(305) 637-6400(305) 636-5155 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2023, Apr 11, 2017 (2 updates tracked since 2017).

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About Jessie Trice Community Health System Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSIE TRICE COMMUNITY HEALTH SYSTEM INC (NPI 1023486735), doing business as Jessie Trice Community Health Center Inc, is a healthcare organization registered as a federally qualified health center (fqhc) in Miami Gardens, Florida and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Ryan R Hawkins, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1023486735

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameJESSIE TRICE COMMUNITY HEALTH SYSTEM INC

Location Address20612 NW 27TH AVEMiami Gardens, FL 33056-1469

Mailing Address5607 Nw 27th Ave, Suite 1Miami, FL 33142-2826 · (305) 805-1700 · Fax (305) 805-1715

Phone(305) 637-6400

Fax(305) 636-5155

Organization SubpartNo

Authorized OfficialRyan R HawkinsPresident/ceo · (305) 805-1700

Enumeration DateSeptember 11, 2015

Last NPPES UpdateNovember 26, 20242 updates tracked since enumeration

NPPES CertifiedNovember 26, 2024

✔ NPI 1023486735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

20612 NW 27TH AVE, Miami Gardens, FL 33056

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Other Names 1

Former Legal Business NameJessie Trice Community Health Center Inc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0954199

Jessie Trice Community Health System, Inc · Miami, FL

Active · expires Nov 30, 2027

CLIA Number10D0954199

Laboratory TypeCommunity Clinic

Certificate Effective DateDecember 1, 2025

Certificate Expiration DateNovember 30, 2027

Laboratory DirectorJoycelyn J. Lawrence

Laboratory Phone(305) 637-6400

Laboratory LocationJessie Trice Community Health System, Inc5361 NW 22nd Ave, Miami, FL 33142

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOY J MUNAJJ-BROWN APRN

Nurse Practitioner (Women's Health)