| NPI | 1023486735 |
|---|---|
| Former Legal Business Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC |
| Entity Type | Organization |
| Authorized Contact | RYAN R HAWKINS President/CEO 305-805-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2024-11-26 |