Jefferson Comprehensive Health Center INC

NPI #1891328480 in Fayette, Mississippi

Provider Information

NPI Number
1891328480
Entity Type
Organization
Organization Name
Jefferson Comprehensive Health Center INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 21, 2020
Last Updated
Feb 21, 2020

Practice Location

Address
405 MAIN ST
ZIP Code
39069-5576
Phone
(601) 786-3475

Authorized Official

Name
SHIRLEY ELLIS-STAMPLEY
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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Provider Name
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