JESSIE TRICE COMMUNITY HEALTH SYSTEM INC (NPI# 1639518798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639518798 |
| Entity Type | Organization |
| Organization Name | JESSIE TRICE COMMUNITY HEALTH SYSTEM INC |
| Other Organization Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC |
| Practice Address |
4692 Nw 183rd St Miami Gardens FL 33055-3054 |
| Mailing Address |
5607 Nw 27th Ave Suite 1 Miami FL 33142-2826 |
| Practice Telephone | 3056376400 |
| Practice Fax Number | 3058351598 |
| Mailing Telephone | 3056376400 |
| Mailing Fax Number | 3058351598 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | ANNIE R NEASMAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 3056376400 |
| 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 |
4692 NW 183RD ST |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33055-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144615733 | Kerry Gantner | Social Worker | 4692 Nw 183rd St, Miami Gardens, FL 33055-3054 | 2015-04-01 |
| 1871983551 | Arianne Cordon-duran | Family Medicine | 4692 Nw 183rd St, Miami Gardens, FL 33055-3054 | 2015-02-02 |
| 1528160181 | Teresa A Jackson | Nurse Practitioner | 4692 Nw 183rd St, Miami Gardens, FL 33055-3054 | 2006-09-03 |
| 1013931773 | Joy J Munajj-brown | Nurse Practitioner | 4692 Nw 183rd St, Miami Gardens, FL 33055 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684240 | Alina De Leon Calvo | Behavior Technician | 18001nw 47 Ct, Miami Gardens, FL 33055 | 2020-03-13 |
| 1871133124 | Yoanna Gasca | Behavior Technician | 5380 Nw 201st Terr Lot 326, Miami Gardens, FL 33055 | 2020-01-14 |
| 1477107936 | Connie Reese-walker | Social Worker | 19100 Nw 51stave, Miami Gardens, FL 33055 | 2019-08-01 |
| 1104483981 | Yordano Santos | Behavior Technician | 4528 Nw 191 St, Miami Gardens, FL 33055 | 2019-05-28 |
| 1508420985 | Jackeline Hinojosa Leonard | Behavior Technician | 17101 Nw 57th Ave Apt 215, Miami Gardens, FL 33055 | 2019-04-30 |
| 1023535788 | Ashanty S Campbell | Behavior Technician | 5319 Nw 189th St, Miami Gardens, FL 33055 | 2017-08-24 |
| 1326560988 | Gabriela Cordoba | Behavioral Analyst | 21351 Nw 39 Ave., Miami Gardens, FL 33055 | 2017-07-14 |
| 1639609449 | Ysabel Cristina Borroto Merlo | Behavior Technician | 18927 Nw 45 Ave, Miami Gardens, FL 33055 | 2017-06-14 |
| 1164956447 | Yolanda Cruz | Behavior Technician | 5146 Nw 199 Lane, Miami Gardens, FL 33055 | 2017-04-13 |
| 1689114613 | Viviana Ramirez | Behavior Technician | 18605 Nw 52nd Path, Miami Gardens, FL 33055 | 2017-02-23 |
| Find all providers in zip 33055 | ||||
| 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 |
|---|---|---|---|---|
| 1760644397 | Jessie Trice Community Health System Inc | Clinic/Center | 15800 Nw 42nd Ave, Miami Gardens, FL 33054-6155 | 2008-06-25 |
| 1285056473 | Jessie Trice Community Health System Inc | Clinic/Center | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 | 2014-01-08 |
| 1699106088 | Center for Family and Child Enrichment, Inc | Clinic/Center | 1825 Nw 167th St, Miami Gardens, FL 33056 | 2013-12-10 |
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|---|---|---|---|---|
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| 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 |
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| 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 | ||||
| City | MIAMI GARDENS |
| Zip Code | 33055 |
Please comment or provide details below to improve the information on JESSIE TRICE COMMUNITY HEALTH SYSTEM INC.
| 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.