Organization
JACKSON FREE CLINIC
Active
Other names
Jackson Free Clinic for the Homeless
Organization subpart
No
Provider details
NPI number
Authorized official
HALI PETERSON (CHAIR OF THE BOARD)
(601) 355-5161
Entity
Organization
Contact information
Practice address
925 MARTIN LUTHER KING JR DR, JACKSON, MS 39203-2233
(601) 355-5161
Mailing address
PO BOX 4892, JACKSON, MS 39296-4892
(601) 355-5161
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
06/21/2022
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