Jefferson Comprehensive Health Center, Inc.
NPI #1962517185 in Fayette, Mississippi
Provider Information
- NPI Number
- 1962517185
- Entity Type
- Organization
- Organization Name
- Jefferson Comprehensive Health Center, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Dec 29, 2010
Practice Location
- Address
- 225 COMMUNITY DR
- Address 2
- POST OFFICE BOX 98
- City
- Fayette
- State
- Mississippi
- ZIP Code
- 39069-0098
- 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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