JESSIE TRICE COMMUNITY HEALTH SYSTEM INC (NPI# 1023486735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023486735 |
| Entity Type | Organization |
| Organization Name | JESSIE TRICE COMMUNITY HEALTH SYSTEM INC |
| Other Organization Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC |
| Practice Address |
777 E 25th St Suite 316 Hialeah FL 33013-3825 |
| Mailing Address |
5607 Nw 27th Ave Suite 1 Miami FL 33142-2826 |
| Practice Telephone | 3056376400 |
| Practice Fax Number | 3058051715 |
| Mailing Telephone | 3058051700 |
| Mailing Fax Number | 3058051715 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | ANNIE R NEASMAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 3058051700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jessie Trice Community Health Center Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1952767402 | Jessie Trice Community Health System Inc | Clinic/Center | 1400 Nw 36th St, Miami, FL 33142-5558 | 2016-01-13 |
| 1861863458 | Jessie Trice Community Health System Inc | Clinic/Center | 3301 Nw 183rd Street, Carol City, FL 33056-2999 | 2015-10-08 |
| 1821498999 | Jessie Trice Community Health System Inc | Clinic/Center | 2520 Nw 75th Street, Miami, FL 33147-0000 | 2014-08-26 |
| 1760645550 | Jessie Trice Community Health System Inc | Clinic/Center | 5607 Nw 27th Ave Ste 2, Miami, FL 33142-2826 | 2008-07-02 |
| 1760644397 | Jessie Trice Community Health System Inc | Clinic/Center | 15800 Nw 42nd Ave, Miami Gardens, FL 33054-6155 | 2008-06-25 |
| 1467614099 | Jessie Trice Community Health System Inc | Clinic/Center | 1190 Nw 95th St Ste 304, Miami, FL 33150-2066 | 2008-06-25 |
| 1790988855 | Jessie Trice Community Health System Inc | Counselor | 2985 Nw 54th St, Miami, FL 33142-2827 | 2007-06-07 |
| 1649328360 | Jessie Trice Community Health System Inc | Counselor | 5361 Nw 22 Avenue, Miami, FL 33142 | 2007-01-08 |
| 1962910141 | Jessie Trice Community Health System Inc | Clinic/Center | 217 Nw 15th St, Miami, FL 33136-1832 | 2018-01-22 |
| Street Address |
777 E 25TH ST SUITE 316 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33013-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744272 | Manuel J Sone | Podiatrist | 777 E 25th St, Suite 302, Hialeah, FL 33013-3825 | 2005-07-21 |
| 1316427313 | Josue Alberto Moran | Registered Nurse | 777 E 25th St, Ste 516, Hialeah, FL 33013-3834 | 2018-08-19 |
| 1083155907 | Urophysicians, LLC | Urology | 777 E 25th St, Suite 304, Hialeah, FL 33013-3825 | 2017-03-10 |
| 1942657572 | Diabetes and Wound Care Network Inc | Internal Medicine | 777 E 25th St, Suite 306, Hialeah, FL 33013-3825 | 2016-05-24 |
| 1770940934 | Maria Elena Rendon De Daher | Registered Nurse | 777 E 25th St, Hialeah, FL 33013-3825 | 2016-01-19 |
| 1982061255 | Cue Pharmacy Inc | Pharmacy | 777 E 25th St, Suite 120, Hialeah, FL 33013-3825 | 2016-01-18 |
| 1336505742 | Marco Fiore Md Pa | Internal Medicine | 777 E 25th St, Hialeah, FL 33013-3825 | 2016-01-14 |
| 1316302789 | Daniel Pino Ruiz | Nurse Practitioner | 777 E 25th St, Suite 118, Hialeah, FL 33013-3825 | 2015-12-29 |
| 1730550302 | Miami Global Ob Gyn LLC | Obstetrics & Gynecology | 777 E 25th St, Unit 209, Hialeah, FL 33013-3825 | 2015-10-08 |
| 1407247588 | Idania Teresa Garcia Del Sol | Family Medicine | 777 E 25th St, Suite 118, Hialeah, FL 33013-3825 | 2015-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233918 | Yudith Lazo Gonzales | Behavior Technician | 4565 East 8 Ave, Hialeah, FL 33013 | 2020-07-28 |
| 1710539481 | Paradise Social Club Adult Day Care Corp | Clinic/Center | 3810-3830 E 4th Ave, Hialeah, FL 33013 | 2019-07-12 |
| 1669968624 | Lizette Estevez De Casabuena Serrano | Behavior Technician | 270 E 43rd St, Hialeah, FL 33013 | 2018-07-02 |
| 1790276905 | Villa Rosa Iv, Inc. | Assisted Living Facility | 3051 E. 4 Avenue, Hialeah, FL 33013 | 2018-05-23 |
| 1669972865 | Cristhian Barrios | Chiropractor | 777 E 25th St Ste 306, Hialeah, FL 33013 | 2018-02-15 |
| 1538675749 | Madelin Fuentes | Licensed Practical Nurse | 522 E 25th Street, Hialeah, FL 33013 | 2017-12-26 |
| 1942724273 | Marisol Garcia | Behavior Technician | 3760 E 10th Ave, Hialeah, FL 33013 | 2017-07-28 |
| 1932620838 | Ariana Zita Armas Sanchez | Behavior Technician | 912 E 32nd St, Hialeah, FL 33013 | 2017-06-29 |
| 1740717867 | Thalia Cordero Lopez | Behavior Technician | 4501 E 9th Ct, Hialeah, FL 33013 | 2017-05-19 |
| 1386176873 | Gam Dental | Dentist | 508 East 49 St, Hialeah, FL 33013 | 2017-04-03 |
| Find all providers in zip 33013 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598134389 | Borinquen Health Care Center Inc | Clinic/Center | 1025 W 56 Street, Palm Springs Middle, Hialeah, FL 33012 | 2015-09-22 |
| 1245581917 | Citrus Health Network Inc | Clinic/Center | 60 E 3rd St, Suite 102c, Hialeah, FL 33010-4917 | 2012-09-21 |
| 1982975082 | Citrus Health Network, Inc. | Clinic/Center | 705 E 26th St, Hialeah, FL 33013-3823 | 2012-01-20 |
| 1942506837 | Citrus Health Network Inc | Clinic/Center | 551 W 51st Pl, Hialeah, FL 33012-3601 | 2011-02-10 |
| 1033412184 | Citrus Health Network Inc | Clinic/Center | 4125 W 20th Ave, Hialeah, FL 33012-5874 | 2010-12-13 |
| 1740442375 | Jessie Trice Community Health System Inc | Clinic/Center | 901 E 10th Ave, Bay 39, Hialeah, FL 33010-3762 | 2008-06-25 |
| 1275647752 | Citrus Health Network Inc | Clinic/Center | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2006-08-19 |
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|---|---|---|---|---|
| 1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.