| NPI | 1184293789 |
|---|---|
| Former Legal Business Name | JESSIE TRICE COMMUNITY HEALT CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | RYAN R HAWKINS CEO/President 305-805-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2024-11-26 |