NPI | 1306452438 |
---|---|
Doing Business As | JESSIE TRICE COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RYAN R HAWKINS President/CEO 305-805-1700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-09-23 |
Last Update Date | 2024-11-26 |