JESSIE TRICE COMMUNITY HEALTH SYSTEM INC (NPI# 1821498999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821498999 |
| Entity Type | Organization |
| Organization Name | JESSIE TRICE COMMUNITY HEALTH SYSTEM INC |
| Other Organization Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC |
| Practice Address |
2520 Nw 75th Street Miami FL 33147-0000 |
| 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 | 2014-08-26 |
| 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 |
| 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 |
| 1609247329 | Jessie Trice Community Health System Inc | Clinic/Center | 1100 Nw 71st St, Miami, FL 33150-3894 | 2015-10-08 |
| Street Address |
2520 NW 75TH STREET |
| City | MIAMI |
| State | FL |
| Zip Code | 33147-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720546708 | Sade Thornton | Adult Companion | 1214 Nw 62 Lane, Miami, FL 33147 | 2019-03-07 |
| 1760969471 | One Healthcare Solution Inc | Nurse Practitioner | 10443 Nw 29th Ct, Miami, FL 33147 | 2018-07-25 |
| 1144715178 | Damaris Tabarez | Technician, Other | 8801 Nw 33rd Court Rd, Miami, FL 33147 | 2018-06-22 |
| 1295237790 | Elaine Nunez | Behavior Technician | 3425 Nw 87th Ter, Miami, FL 33147 | 2018-03-01 |
| 1376043695 | Brownsville Wellness and Rehab Center, LLC | Chiropractor | 7900 Nw 27 Avenue Suite D11, Miami, FL 33147 | 2018-02-13 |
| 1174031199 | Jidlyne Remy Cherelus | Nurse Practitioner | 2520 Nw 75th St, Miami, FL 33147 | 2018-01-11 |
| 1356862627 | Mailanys Garcia | Behavior Technician | 3050 Nw 106th St, Miami, FL 33147 | 2017-06-27 |
| 1598290835 | Maylin Prieto Iglesias | Behavior Technician | 9031 Nw 36th Ave, Miami, FL 33147 | 2017-04-24 |
| 1033655899 | Librada Lemus | Behavior Technician | 10510 Nw 36 Ct, Miami, FL 33147 | 2017-01-17 |
| 1801331038 | Yadmila Boullosa | Behavior Technician | 1280 Nw 79th St, 303, Miami, FL 33147 | 2016-12-26 |
| Find all providers in zip 33147 | ||||
| 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 |
|---|---|---|---|---|
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1396395075 | Citrus Health Network | Clinic/Center | 1645a Sw 107th Ave, Miami, FL 33165-7344 | 2019-09-16 |
| 1952767402 | Jessie Trice Community Health System Inc | Clinic/Center | 1400 Nw 36th St, Miami, FL 33142-5558 | 2016-01-13 |
| 1467826487 | Community Health of South Florida Inc | Clinic/Center | 650 Nw 132nd Ave, Miami, FL 33182-1155 | 2015-11-16 |
| 1861861668 | Borinquen Health Care Center Inc | Clinic/Center | 6161 Nw 5 Court, Miami Edison Senior High, Miami, FL 33127 | 2015-09-22 |
| 1053780833 | Borinquen Health Care Center Inc | Clinic/Center | 2450 Sw 1 Street, Maimi Senior High, Miami, FL 33135 | 2015-09-22 |
| 1326417114 | Borinquen Health Care Center Inc | Clinic/Center | 330 Nw 97 Avenue, Ewf Stirrup Elementary, Miami, FL 33172 | 2015-09-22 |
| 1174992978 | Borinquen Health Care Center Inc | Clinic/Center | 350 Nw 97 Avenue, Ruben Dario Middle, Miami, FL 33172 | 2015-09-22 |
| 1225407026 | Borinquen Health Care Center Inc | Clinic/Center | 6101 Nw 2 Avenue, Itech @ Thomas A. Edison High, Miami, FL 33127 | 2015-09-22 |
| 1417326208 | Charles R. Hadley Elementary | Clinic/Center | 8400 Nw 7 Street, Charles R. Hadley Elementary, Miami, FL 33126 | 2015-09-22 |
| Find all providers in MIAMI | ||||
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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.