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CH04033R Jessie Trice Community Health System, Inc. (Active)
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Main Details
Name
Jessie Trice Community Health System, Inc.
Subdivision Name
JTCHS - Children's Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007603
340B ID
CH04033R
Grant Number
H80CS00732
Additional Details
Current Program Status
Active
Registration Date
9/16/2008
Participating Start Date
9/17/2008
Participating Approval Date
9/17/2008
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Jessie Trice Community Health System
Ryan Rashaun Hawkins, President & CEO
(305) 805-1700
Primary Contact
JESSIE TRICE COMMUNITY HEALTH SYSTEM
Ruth Duval, Executive VP & Chief Nursing Officer
(305) 805-1700 Ext: 1011
Addresses
Street Address
1190 NW 95th St STE 304
Miami, FL 33150-2066
Billing Address
JESSIE TRICE COMMUNITY HEALTH SYSTEM INC.
5607 NW 27TH AVENUE, SUITE 1
MIAMI, FL 33142
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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