Covered Entity Details

CH04033G JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC. (Active)

Main Details

Name

JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC.

Subdivision Name

JTCHS - Jefferson Reaves House Women's Residental SA Treatment Center (24 Hour)

Type

HRSA-Funded Health Center

Site ID

BPS-H80-004718

340B ID

CH04033G

Grant Number

H80CS00732

Additional Details

Current Program Status

Active

Registration Date

2/27/2019

Participating Start Date

4/1/2019

Participating Approval Date

2/28/2019

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

2985 NW 54th St
Miami, FL 33142-2827

Billing Address

Jessie Trice Community Health Center
5601 NW 27th AVENUE, SUITE 1
MIAMI, FL 33142

Comment	Last Updated On
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Participating start date 4/1/1995, Terminated 10/1/2018; Reinstated 4/1/2019.	02/28/2019
4/9/12 - Changed zip code from 33147. 6/19/2008-UPDATE SUBDIVISION NAME(WASWOMEN'S RESIDENTIAL CENTER);6/19/2008 UPDATED ENTITY NAME (WAS ECONOMIC OPPORTUNITY FHC, INC.) 3/6/06 - CORRECTED ADDR (WAS 2984 NW 54TH ST), MODIF NAME (WAS ADDICTIONS & PREV HLTH SERVICES, REAVES HOUSE);	04/09/2012
6/19/2008-UPDATE SUBDIVISION NAME(WASWOMEN'S RESIDENTIAL CENTER);6/19/2008 UPDATED ENTITY NAME (WAS ECONOMIC OPPORTUNITY FHC, INC.) 3/6/06 - CORRECTED ADDR (WAS 2984 NW 54TH ST), MODIF NAME (WAS ADDICTIONS & PREV HLTH SERVICES, REAVES HOUSE);	06/19/2008

340B Drug Pricing Program Database