NPI | 1831352624 |
---|---|
Former Legal Business Name | JESSIE TRICE COMMUNITY HEALTH CENTER, INC |
Other Name | JTCHS HEALTH CENTER AT NORTH SHORE |
Entity Type | Organization |
Authorized Contact | RYAN R HAWKINS President And CEO 305-637-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2024-11-26 |