JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC (NPI# 1689605362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689605362 |
| Entity Type | Organization |
| Organization Name | JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC |
| Other Organization Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC |
| Practice Address |
5361 Nw 22nd Ave Miami FL 33142-8035 |
| Mailing Address |
5607 Nw 27th Ave Suite 1 Miami FL 33142-2826 |
| Practice Telephone | 3056376400 |
| Practice Fax Number | 3058051715 |
| Mailing Telephone | 3058051700 |
| Mailing Fax Number | 3058051715 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | ANNIE R. NEASMAN (PRESIDENT & CEO) |
| Authorized Official Telephone | 3058051700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
5143177 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060826200 | 05 | |
| FL | 029541801 | 05 | |
| FL | 029541800 | 05 |
| Other Name | Type Code |
|---|---|
| Jessie Trice Community Health Center Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831352624 | Jessie Trice Community Health System, Inc | Clinic/Center | 1190 Nw 95th St Ste 100, Miami, FL 33150-2064 | 2008-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC. | 5607 Nw 27th Ave Ste 1, Miami, FL 33142-2826 |
| Street Address |
5361 NW 22ND AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33142-8035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649230830 | Carol Harrenstien Tordi | Pediatrics | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2006-03-23 |
| 1114491941 | Gladys Amador | Counselor | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2019-01-15 |
| 1821568619 | Magalie Jean | Social Worker | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2018-12-05 |
| 1184192221 | Michael P Croitoru | Social Worker | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2018-11-07 |
| 1235655945 | Wilson J. Basquiat | Dental Hygienist | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2017-08-15 |
| 1194240283 | Herve Pierre Corbel | Nurse Practitioner | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2017-08-09 |
| 1376076125 | Naomi Auerbach | Social Worker | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2017-04-08 |
| 1093252488 | Nadege Saint-cyr | Social Worker | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2017-01-24 |
| 1548705239 | Gary M. Clay Jr. | Family Medicine | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2017-01-04 |
| 1619336369 | Vanessa E Lebron | Dentist | 5361 Nw 22nd Ave, Miami, FL 33142-8035 | 2016-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861622 | Sofia Catena | Student in an Organized Health Care Education/Training Program | 1611 Nw 42nd Avenue, Miami, FL 33142 | 2020-04-28 |
| 1093334492 | Sentir Medical Center Inc. | Clinic/Center | 1493 Nw 54th St, Miami, FL 33142 | 2020-04-15 |
| 1700427481 | Suncare Therapy, Inc | Physical Therapist | 1251 Nw 36th Street, Miami, FL 33142 | 2019-10-03 |
| 1477070910 | Marcellas Holmes | Behavior Technician | 2500 Nw 59th St Apt B, Miami, FL 33142 | 2017-08-25 |
| 1992228605 | Mobility Medical Transport, Inc | Non-emergency Medical Transport (VAN) | 3590 Nw 49 St, Miami, FL 33142 | 2017-07-25 |
| 1184146540 | Antonio Javaun Davis | Counselor | 1469 Nw 36th Street, Miami, FL 33142 | 2017-07-07 |
| 1467992594 | Lissainet Diaz Sarduy | Behavior Technician | 2992 Nw 49 St, Miami, FL 33142 | 2017-03-08 |
| 1467800169 | Pharmacy Chevalier Inc | Durable Medical Equipment & Medical Supplies | 1553-55 Nw 36 Street, Miami, FL 33142 | 2016-06-03 |
| 1770958811 | Ray Miami Medical Center Corp | General Practice | 3900 Nw 36 St, 594, Miami, FL 33142 | 2015-12-01 |
| 1861861650 | Borinquen Health Care Center Inc | Clinic/Center | 2420 Nw 18 Avenue, Comstock Elementary, Miami, FL 33142 | 2015-09-22 |
| Find all providers in zip 33142 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1396395075 | Citrus Health Network | Clinic/Center | 1645a Sw 107th Ave, Miami, FL 33165-7344 | 2019-09-16 |
| 1952767402 | Jessie Trice Community Health System Inc | Clinic/Center | 1400 Nw 36th St, Miami, FL 33142-5558 | 2016-01-13 |
| 1467826487 | Community Health of South Florida Inc | Clinic/Center | 650 Nw 132nd Ave, Miami, FL 33182-1155 | 2015-11-16 |
| 1861861668 | Borinquen Health Care Center Inc | Clinic/Center | 6161 Nw 5 Court, Miami Edison Senior High, Miami, FL 33127 | 2015-09-22 |
| 1053780833 | Borinquen Health Care Center Inc | Clinic/Center | 2450 Sw 1 Street, Maimi Senior High, Miami, FL 33135 | 2015-09-22 |
| 1326417114 | Borinquen Health Care Center Inc | Clinic/Center | 330 Nw 97 Avenue, Ewf Stirrup Elementary, Miami, FL 33172 | 2015-09-22 |
| 1174992978 | Borinquen Health Care Center Inc | Clinic/Center | 350 Nw 97 Avenue, Ruben Dario Middle, Miami, FL 33172 | 2015-09-22 |
| 1225407026 | Borinquen Health Care Center Inc | Clinic/Center | 6101 Nw 2 Avenue, Itech @ Thomas A. Edison High, Miami, FL 33127 | 2015-09-22 |
| 1417326208 | Charles R. Hadley Elementary | Clinic/Center | 8400 Nw 7 Street, Charles R. Hadley Elementary, Miami, FL 33126 | 2015-09-22 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.