JEFFERSON COMPREHENSIVE HEALTH CENTER INC. NPI 1710450580

NPI Information

JEFFERSON COMPREHENSIVE HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Natchez, MS. JEFFERSON COMPREHENSIVE HEALTH CENTER, INC. NPI is 1710450580. The provider is registered as an organization entity type.

The provider's business location address is:

1038 N UNION ST
NATCHEZ, MS
ZIP 39120-875
Phone: (601) 786-3475
Fax: (601) 786-9980

The provider's authorized official is Shirley Ellis .
The authorized official title is Ceo and has the following contact phone number (601) 786-3475.

The CLIA number assigned to this NPI record is 25D0990876 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2019 and was last updated on 1/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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