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CH04033Q Jessie Trice Community Health System, Inc. (Terminated)
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Main Details
Name
Jessie Trice Community Health System, Inc.
Subdivision Name
Norland Dental Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002209
340B ID
CH04033Q
Grant Number
H80CS00732
Additional Details
Current Program Status
Terminated
Registration Date
9/16/2008
Participating Start Date
9/17/2008
Participating Approval Date
9/17/2008
Last Recertification Date
2/6/2021
Termination Date
Termination Reason
1/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Jessie Trice Community Health Center, Inc
Annie Neasman, President & CEO
(305) 805-1700 Ext: 1000
Primary Contact
JESSIE TRICE COMMUNITY HEALTH SYSTEM
Ruth Duval, Executive VP & Chief Nursing Officer
(305) 805-1700 Ext: 1011
Addresses
Street Address
18360 NW 7th Ave
Miami, FL 33169-4410
Billing Address
JESSIE TRICE COMMUNITY HEALTH CENTER INC.
5607 27TH AVENUE, SUITE 1
MIAMI, FL 33142
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/9/12 - Changed zip code from 33139.
04/09/2012
May 2025
May 2025
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