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CH04033Y JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC. (Active)
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Main Details
Name
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC.
Subdivision Name
JTCHS - Opa Locka Youth and Children's Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015392
340B ID
CH04033Y
Grant Number
H80CS00732
Additional Details
Current Program Status
Active
Registration Date
1/14/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/17/2016
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
490 Opa-Locka Blvd. Suite 100
Opa Locka, FL 33054-3563
Billing Address
Jessie Trice Community Health System
5607 NW 27th Ave
Miami, FL 33142
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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