Jefferson Comprehensive Health Center Inc in Fayette - Federally Qualified Health Center (fqhc)
Jefferson Comprehensive Health Center Inc - NPI 1922271691
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 1922271691. The last update date is 2010-12-15.
Jefferson Comprehensive Health Center Inc's current location address is Post Office 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 Post Office Box 98, Fayette, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Comprehensive Health Center Inc |
|---|---|
| Address | Post Office 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 |
| Credentials | MBA |
| Telephone Number | 6017863475 |
NPI Number Detail
| NPI Number | 1922271691 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2010-12-15 |
Provider Mailing Address Detail
| Address | Post Office Box 98 |
|---|---|
| City | Fayette |
| State | Mississippi (MS) |
| Post Code | 390695515 |
| 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 |
|---|---|---|---|
| 9015636 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jefferson Comprehensive Health Center Inc by the Centers for Medicare & Medicaid Services?
The Jefferson Comprehensive Health Center Inc has been assigned the NPI (National Provider Identifier) 1922271691 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
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: Post Office Box 98, Fayette, MS, 390695515.
What is Jefferson Comprehensive Health Center Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jefferson Comprehensive Health Center Inc is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did Jefferson Comprehensive Health Center Inc receive its 1922271691 assignment from the Centers for Medicare & Medicaid Services?
The Jefferson Comprehensive Health Center Inc was assigned its 1922271691 on 2008-04-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jefferson Comprehensive Health Center Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jefferson Comprehensive Health Center Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-12-15.
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