Jefferson Comprehensive Health Center INC
NPI #1922271691 in Fayette, Mississippi
Provider Information
- NPI Number
- 1922271691
- 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
- Dec 15, 2010
Practice Location
- Address
- ROUTE 1 BOX 266
- City
- Fayette
- State
- Mississippi
- ZIP Code
- 39069
- Phone
- (601) 786-3475
Authorized Official
- Name
- SHIRLEY A. ELLIS, MBA
- 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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