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Jessie Trice Community Health System, Inc
Federally Qualified Health Center (FQHC) in Miami, Florida
NPI 1689605362

Jessie Trice Community Health System, Inc is a Federally Qualified Health Center (FQHC) based in Miami, FL and is specialized in Federally Qualified Health Center (FQHC). Jessie Trice Community Health System, Inc practices in Miami, FL. The NPI Number for Jessie Trice Community Health System, Inc is 1689605362 and holds a License No. (Florida).

The current practice location address for Jessie Trice Community Health System, Inc is 5361 Nw 22Nd Ave, Miami, FL and can be reached out via phone at 305-637-6400 and via fax at 305-805-1715.

Location: 5361 Nw 22Nd Ave, Miami, FL, 33142-2826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689605362
Provider Name
Jessie Trice Community Health System, Inc
Credential
Provider Entity Type
Organization
Address
5361 Nw 22Nd Ave, Miami, FL, 33142-2826
Phone Number
305-637-6400
Fax Number
305-805-1715
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
029541800 05 FL
060826200 05 FL
029541801 05 FL
institution
Provider Business Practice Location Address Details
Address
5361 Nw 22Nd Ave
City
Miami
State
Florida
Zip
33142-8035
Phone Number
305-637-6400
Fax Number
305-805-1715
person
Provider Business Mailing Address Details
Address
5361 Nw 22Nd Ave
City
Miami
State
Florida
Zip
33142-8035
Phone Number
305-637-6400
Fax Number
305-805-1715
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
5143177 (Florida)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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