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CH04033V JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC. (Active)
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Main Details
Name
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC.
Subdivision Name
JTCHS - Frederica Wilson / Juanita Mann Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014071
340B ID
CH04033V
Grant Number
H80CS00732
Additional Details
Current Program Status
Active
Registration Date
1/8/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/20/2015
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
2520 N.W. 75th Street
Miami, FL 33147
Billing Address
Jessie Trice Community Health System
5607 NW 27th Ave
Miami, FL 33017
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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