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CH040330 Jessie Trice Community Health System, Inc, (Active)
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Main Details
Name
Jessie Trice Community Health System, Inc,
Subdivision Name
JTCHS - Fatima Zafar MD Health & Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002322
340B ID
CH040330
Grant Number
H80CS00732
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
12/1/1992
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
5361 NW 22nd Ave
Miami, FL 33142-8035
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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6/19/2008 UPDATED ENTITY NAME (WAS ECONOMIC OPPORTUNITY FHC, INC.)AND ADD. (WAS 5361 N.W. 22ND AVENUE,33142); 7/9/08 UPDATED ADDR (WAS 700 S ROYAL POINCIANNA BLVD), ADDED BILLING ADDR
07/09/2008
May 2025
May 2025
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