Organization
JEFFERSON COUNTY HOSPITAL
Active
Parent organization
JEFFERSON COUNTY HOSPITAL
Other names
Jefferson County Hospital Multispecialty Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON COUNTY HOSPITAL
Authorized official
LINDA STJULIEN (CEO)
(601) 786-3401
Entity
Organization
Contact information
Practice address
870 MAIN ST, FAYETTE, MS 39069-5695
(601) 786-3401
Mailing address
PO BOX 577, FAYETTE, MS 39069-0577
(601) 786-3401
(601) 786-3400
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
12/12/2023
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