Jefferson Comprehensive Health Center, Inc. in Fayette - Federally Qualified Health Center (fqhc)
Jefferson Comprehensive Health Center, Inc. - NPI 1770756447
Jefferson Comprehensive Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Fayette, Mississippi. Jefferson Comprehensive Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Jefferson Comprehensive Health Center, Inc. is 1770756447. The last update date is 2008-06-20.
Jefferson Comprehensive Health Center, Inc.'s current location address is Po Box 98, Fayette, Mississippi. You can contact this provider via phone number 6017863475 and fax number 6017869980. The mailing address for Jefferson Comprehensive Health Center, Inc. is Po Box 98, Fayette, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Comprehensive Health Center, Inc. |
|---|---|
| Address | Po Box 98, Fayette, Mississippi |
| Phone Number | 6017863475 |
| Fax Number | 6017869980 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Ellis A. Shirley |
| Telephone Number | 6017863475 |
NPI Number Detail
| NPI Number | 1770756447 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | Po Box 98 |
|---|---|
| City | Fayette |
| State | Mississippi (MS) |
| Post Code | 390690098 |
| Phone Number | 6017863475 |
| Fax Number | 6017869980 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9015637 | MS | -- |
Post Comment/ Review Below
What is the Jefferson Comprehensive Health Center, Inc.'s unique identification number?
The Jefferson Comprehensive Health Center, Inc. has been assigned the NPI (National Provider Identifier) Number 1770756447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jefferson Comprehensive Health Center, Inc. is located?
The Jefferson Comprehensive Health Center, Inc. is situated at the following address: Po Box 98, Fayette, MS, 390690098.
What is Jefferson Comprehensive Health Center, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jefferson Comprehensive Health Center, Inc.'s specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Jefferson Comprehensive Health Center, Inc. receive the assignment of its 1770756447 from the Centers for Medicare & Medicaid Services?
The Jefferson Comprehensive Health Center, Inc. was issued its 1770756447 by the Centers for Medicare & Medicaid Services on 2008-04-02.
As of what date were the Jefferson Comprehensive Health Center, Inc.'s details last updated?
The information pertaining to the Jefferson Comprehensive Health Center, Inc., including its address, specialty, and other details, was most recently updated on 2008-06-20.
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