JESSIE TRICE COMMUNITY HEALTH SYSTEM INC
NPI 1184293789
Clinic/Center - Federally Qualified Health Center (FQHC) in Miami, FL

Active since June 18, 2021
5361 NW 22ND AVE # M2, MIAMI, FL 33142(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.

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 1184293789), doing business as Jessie Trice Community Healt Center, Inc., is a healthcare organization registered as a federally qualified health center (fqhc) in Miami, Florida and active in the NPI registry since June 2021. The organization lists Ryan R Hawkins, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1184293789
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameJESSIE TRICE COMMUNITY HEALTH SYSTEM INC
Location Address5361 NW 22ND AVE # M2Miami, FL 33142-8035
Mailing Address5607 Nw 27th Ave Ste 1Miami, FL 33142-2826 · (305) 805-1700 · Fax (305) 805-1715
Fax(305) 636-5155
Organization SubpartNo
Authorized OfficialRyan R HawkinsCeo/president · (305) 805-1700
Enumeration DateJune 18, 2021
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
NPI 1184293789 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
5361 NW 22ND AVE # M2, Miami, FL 33142

Other Names 1

Former Legal Business NameJessie Trice Community Healt Center, Inc.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessie Trice Community Health System Inc's NPI number?

The NPI number for Jessie Trice Community Health System Inc is 1184293789. It was assigned to this organization in the NPPES registry on June 18, 2021. The provider was formerly known as Jessie Trice Community Healt Center, Inc..

Where is Jessie Trice Community Health System Inc located?

Jessie Trice Community Health System Inc is located at 5361 NW 22nd Ave # M2, Miami, FL 33142. The listed phone number is (305) 637-6400.

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.

When was this NPI record last updated?

The NPPES record for Jessie Trice Community Health System Inc was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.