JEFFERSON COMPREHENSIVE HEALTH CENTER, INC. (NPI# 1205009966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205009966 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COMPREHENSIVE HEALTH CENTER, INC. |
| Other Organization Name | ADAMS COUNTY FAMILY HEALTH CENTER |
| Practice Address |
145 Homochitto St Natchez MS 39120-3906 |
| Mailing Address |
Po Box 98 Fayette MS 39069-0098 |
| Practice Telephone | 6017863475 |
| Practice Fax Number | 6017869980 |
| Mailing Telephone | 6017863475 |
| Mailing Fax Number | 6017869980 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | SHIRLEY A. ELLIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6017863475 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON COMPREHENSIVE HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08928308 | 05 |
| Other Name | Type Code |
|---|---|
| Adams County Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139493 | Jefferson Comprehensive Health Center, Inc. | Nurse Practitioner | 1445 George F West Sr Blvd, Natchez, MS 39120-2557 | 2019-11-19 |
| 1710450580 | Jefferson Comprehensive Health Center, Inc. | Clinic/Center | 1038 N Union St, Natchez, MS 39120-2875 | 2019-01-04 |
| 1164892634 | Jefferson Comprehensive Health Center, Inc. | Specialist | 170 Sgt Prentiss Dr, Natchez, MS 39120-4737 | 2015-09-28 |
| 1295037372 | Jefferson Comprehensive Health Center, Inc. | Clinic/Center | 1221 N. Dr. Mlk Jr. Street, Natchez, MS 39120-3157 | 2010-11-23 |
| 1770756447 | Jefferson Comprehensive Health Center, Inc. | Clinic/Center | 468 Highway 33, Fayette, MS 39069-4546 | 2008-04-02 |
| 1962517185 | Jefferson Comprehensive Health Center, Inc. | Clinic/Center | 225 Community Dr, Post Office Box 98, Fayette, MS 39069-0098 | 2006-08-20 |
| Street Address |
145 HOMOCHITTO ST |
| City | NATCHEZ |
| State | MS |
| Zip Code | 39120-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891218046 | Kenitra Wallace | Nurse Practitioner | 145 Homochitto St, Natchez, MS 39120 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903518 | Rosa L. Newman | Foster Care Agency | 722 North Rankin St, Natchez, MS 39120 | 2019-10-11 |
| 1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
| 1164918728 | We Care Express LLC | Non-emergency Medical Transport (VAN) | 137 Greystone Pl, Natchez, MS 39120 | 2018-07-06 |
| 1053841585 | Tyler Lee Huls | Specialist/Technologist | 48 Sgt Prentiss Drive, Natchez, MS 39120 | 2017-06-18 |
| 1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
| 1760818017 | Miss-lou Dental LLC | Dentist | 110 Highway 61 South, Natchez, MS 39120 | 2013-09-18 |
| 1922344902 | Bluebonnet Dental Care Natchez | Dentist | 101 Highway 61 South, Natchez, MS 39120 | 2012-12-20 |
| 1265781033 | Hal Sheldon Edwards | Pharmacist | 285 Sgt Prentiss Drive, Natchez, MS 39120 | 2012-09-07 |
| 1790031607 | Catherine Misita | Social Worker | 113 N Union St, Natchez, MS 39120 | 2012-07-29 |
| Find all providers in zip 39120 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710450580 | Jefferson Comprehensive Health Center, Inc. | Clinic/Center | 1038 N Union St, Natchez, MS 39120-2875 | 2019-01-04 |
| 1295037372 | Jefferson Comprehensive Health Center, Inc. | Clinic/Center | 1221 N. Dr. Mlk Jr. Street, Natchez, MS 39120-3157 | 2010-11-23 |
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| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
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| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.