Jefferson Comprehensive Health Center, Inc.

NPI #1770756447 in Fayette, Mississippi

Provider Information

NPI Number
1770756447
Entity Type
Organization
Organization Name
Jefferson Comprehensive Health Center, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 2, 2008
Last Updated
Jun 20, 2008

Practice Location

Address
468 HIGHWAY 33
ZIP Code
39069-4546
Phone
(601) 786-3475

Authorized Official

Name
SHIRLEY A. ELLIS
Title
CEO
Phone
(601) 786-3475

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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