# JEFFERSON COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEFFERSON COUNTY HOSPITAL
- **Other names:** Jefferson County Hospital Multispecialty Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841971348
- **Legal business name:** JEFFERSON COUNTY HOSPITAL
- **Authorized official:** LINDA STJULIEN (CEO)
- **Authorized official phone:** (601) 786-3401

## Contact information

- **Practice address:** 870 MAIN ST, FAYETTE, MS 39069-5695
- **Practice address phone:** (601) 786-3401
- **Mailing address:** PO BOX 577, FAYETTE, MS 39069-0577
- **Mailing address phone:** (601) 786-3401
- **Mailing address fax:** (601) 786-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2023
- **Last updated:** 12/12/2023