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CH04033AB JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC. (Active)
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Main Details
Name
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC.
Subdivision Name
JTCHS Barbara J. Jordan Community Health and Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032027
340B ID
CH04033AB
Grant Number
H80CS00732
Additional Details
Current Program Status
Active
Registration Date
10/8/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/12/2021
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
20612 NW 27TH AVE
Miami Gardens, FL 33056-1469
Billing Address
Jessie Trice Community Health System, Inc.
5607 NW 27th Avenue
Suite 1
Miami, FL 33142-2826
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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