Organization
JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.
Active
Parent organization
JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.
Other names
School-Based Clinic Adams
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON COMPREHENSIVE HEALTH CENTER, INC.
Authorized official
MRS. SHIRLEY A ELLIS-STAMPLEY MBA (CHEIF EXECUTIVE OFFICER)
(601) 786-3475
Entity
Organization
Contact information
Practice address
1221 N. DR. MLK JR. STREET, NATCHEZ, MS 39120-3157
(601) 786-3475
(601) 786-9980
Mailing address
PO BOX 98, FAYETTE, MS 39069-0098
(601) 786-3475
(601) 786-9980
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MS
Other
Enumeration date
11/23/2010
Last updated
02/10/2011
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