Organization
JONESTOWN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORETTI GERMAIN (COORDINATOR)
(662) 358-4377
Entity
Organization
Contact information
Practice address
280 SECOND STREET, JONESTOWN, MS 38639-0079
(662) 358-4377
(662) 358-4371
Mailing address
PO BOX 79, JONESTOWN, MS 38639-0079
(662) 358-4377
(662) 358-4371
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09010087
—
MS
Enumeration date
07/18/2005
Last updated
08/22/2020
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