JESSIE TRICE COMMUNITY HEALTH SYSTEM INC (NPI# 1861863458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861863458 |
| Entity Type | Organization |
| Organization Name | JESSIE TRICE COMMUNITY HEALTH SYSTEM INC |
| Other Organization Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC |
| Practice Address |
3301 Nw 183rd Street Carol City FL 33056-2999 |
| 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 | 2015-10-08 |
| 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 |
| 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 |
| 1609247329 | Jessie Trice Community Health System Inc | Clinic/Center | 1100 Nw 71st St, Miami, FL 33150-3894 | 2015-10-08 |
| Street Address |
3301 NW 183RD STREET |
| City | CAROL CITY |
| State | FL |
| Zip Code | 33056-2999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475898 | Dory Ailec Abellon Mederos | Behavior Technician | 3270 Nw 208 St, Miami Garden, FL 33056 | 2018-11-08 |
| 1356867121 | Sonya Hunter | Case Management | 2200 Nw 193rd Terrace, Miami, FL 33056 | 2017-08-14 |
| 1144759531 | Spirit Residential Group Home | Clinic/Center | 17311 N.w 33 Ct, Miami Gardens, FL 33056 | 2017-06-08 |
| 1942744735 | Medicode Network Solutions | Durable Medical Equipment & Medical Supplies | 16805 Nw 24 Ct, Miami, FL 33056 | 2016-12-13 |
| 1114317013 | Mental Health Counseling of South Florida LLC | Social Worker | 18656 Nw 47 Ave, #102 F, Miami Gardens, FL 33056 | 2015-01-29 |
| 1568713956 | A Sweet Adult Care Alf, Inc | Assisted Living Facility | 2751 Nw 209th Terra, Miami Gardens, FL 33056 | 2012-09-25 |
| 1093006660 | Gloria Jean Roan | Respiratory Therapist, Registered | 2320 Nw 187th Street, Miami Garden, FL 33056 | 2011-04-29 |
| 1891091690 | Barry M Gillman | Chiropractor | 17325 Nw 27th Avenue, Suite 111, Miami, FL 33056 | 2011-01-27 |
| 1245363381 | Wal-mart Stores, Inc. | Technician/Technologist | 19501 Northwest 27th Ave., Miami Gardens, FL 33056 | 2007-03-14 |
| 1689719213 | Great Care Pharmacy Inc | Pharmacy | 17560 Nw 27 Ave, Suite 107, Miami Gardens, FL 33056 | 2007-02-21 |
| Find all providers in zip 33056 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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 |
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| 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 | ||||
| City | CAROL CITY |
| Zip Code | 33056 |
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.