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HV040330 JESSIE TRICE COMMUNITY HEALTH CENTER, INC (Terminated)
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Main Details
Name
JESSIE TRICE COMMUNITY HEALTH CENTER, INC
Subdivision Name
Type
Ryan White Part C
340B ID
HV040330
Grant Number
H76HA00097
Additional Details
Current Program Status
Terminated
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
12/1/1992
Last Recertification Date
2/2/2017
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2018
Failure to recertify
Contacts
Authorizing Official
Annie Neasman, CEO
(305) 805-1700 Ext: 23151
Primary Contact
Ruth Duval, Vice President
(305) 805-1700 Ext: 1000
Addresses
Street Address
5361 NW 22ND AVENUE
MIAMI, FL 33142
Billing Address
Jessie Trice Community Health Center, Inc.
5601 NW 27th Avenue
Suite 1
Miami, FL 33142
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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7/9/08 UPDATED NAME (WAS ECONOMIC OPPORTUNITY FAMILY HEALTH CTR.)
07/09/2008
May 2025
May 2025
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