JEFFERSON COMPREHENSIVE HEALTH CENTER INC


Address: Route 1 Box 266, Fayette, MS 39069
Phone: 6017863475

JEFFERSON COMPREHENSIVE HEALTH CENTER INC (NPI# 1922271691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922271691
Entity Type Organization
Organization Name JEFFERSON COMPREHENSIVE HEALTH CENTER INC
Other Organization Name JCHC SCHOOL BASED CLINIC HIGH SCHOOL
Practice Address Route 1 Box 266
Fayette
MS 39069
Mailing Address Post Office Box 98
Fayette
MS 39069-5515
Practice Telephone 6017863475
Practice Fax Number 6017869980
Mailing Telephone 6017863475
Mailing Fax Number 6017869980
Enumeration Date 2008-04-02
Last Update Date 2010-12-15
Authorized Official Name SHIRLEY A. ELLIS (CEO)
Authorized Official Telephone 6017863475
Authorized Official Credential MBA
Is Organization Subpart Y
Parent Organization Name JEFFERSON COMPREHENSIVE HEALTH CENTER INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 09015636 05

Other Provider/Organization Names

Other Name Type Code
JCHC School Based Clinic High School Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891328480 Jefferson Comprehensive Health Center Inc Clinic/Center 405 Main St, Fayette, MS 39069-5576 2020-02-21

Office Location

Street Address ROUTE 1 BOX 266
City FAYETTE
State MS
Zip Code 39069

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265063135 Georgene Ferrie Massage Therapist 1612 Main St., Fayette, MS 39069 2020-01-30
1942741764 Prime Health and Wellness Nurse Practitioner 300 Shannon Street, Fayette, MS 39069 2017-03-13
1063967768 P-cares Medical Supplies, LLC Durable Medical Equipment & Medical Supplies 3476 River Road, Box 1055, Fayette, MS 39069 2016-08-23
1669866331 Kanayo Ugboaja Contractor 157 Hicks St, Fayette, MS 39069 2015-03-20
1053666503 Valerie Michele White Nurse Practitioner 225 Community Dr., Fayette, MS 39069 2012-07-20
1265752356 John Ellis Evans Family Medicine 456 River Road, Fayette, MS 39069 2010-06-11
1225247505 Jefferson County Hospital Family Medicine 870 Main Street, Fayette, MS 39069 2007-05-22
1356410229 Johnny B Bills Family Medicine 225 Community Ave, Fayette, MS 39069 2006-11-07
1962583971 Priscilla Jackson Nurse Practitioner 225 Community Drive, Fayette, MS 39069 2006-10-17
1174627459 Anazia Medical II, Inc. Internal Medicine 1264 Main Street, Suite A, Fayette, MS 39069 2006-09-08
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770756447 Jefferson Comprehensive Health Center, Inc. Clinic/Center 468 Highway 33, Fayette, MS 39069-4546 2008-04-02
1891328480 Jefferson Comprehensive Health Center Inc Clinic/Center 405 Main St, Fayette, MS 39069-5576 2020-02-21
1962517185 Jefferson Comprehensive Health Center, Inc. Clinic/Center 225 Community Dr, Post Office Box 98, Fayette, MS 39069-0098 2006-08-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871193722 Coastal Family Health Center, Inc Clinic/Center 12424 Highway 57, Vancleave, MS 39565-8608 2020-10-29
1992305445 Coastal Family Health Center, Inc Clinic/Center 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 2020-10-26
1841890399 Coastal Family Health Center, Inc Clinic/Center 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 2020-10-26
1033755343 Access Family Health Services, Inc. Clinic/Center 179 Mullen Ave, Nettleton, MS 38858-6033 2019-11-21
1285280180 Delta Health Center, Inc Clinic/Center 506 Washington Avenue, Moorhead, MS 38761 2019-08-15
1265088421 Delta Health Center, Inc Clinic/Center 400 South Blvd, Drew, MS 38737-3508 2019-08-14
1215583356 Delta Health Center, Inc. Clinic/Center 302 College Ave, Indianola, MS 38751-2112 2019-08-14
1063068252 Delta Health Center, Inc Clinic/Center 1101 Oak St, Inverness, MS 38753-8725 2019-08-13
1750937959 Delta Health Center, Inc Clinic/Center 212 E Claiborne St, Sunflower, MS 38778-9640 2019-08-13
1750937108 Delta Health Center, Inc Clinic/Center 410 L F Packer Dr, Ruleville, MS 38771-3604 2019-08-12
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Competitor

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City FAYETTE
Zip Code 39069

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Dataset Information

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.

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