| Jackson Hinds Comprehensive Health Center | |
|
3312 Oak St Vicksburg MS 39180-5042 | |
| (601) 629-9500 | |
| (601) 638-9044 |
| Full Name | Jackson Hinds Comprehensive Health Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3312 Oak St, Vicksburg, Mississippi |
| Authorized Official Name and Position | Jasmin Chapman (CEO) |
| Authorized Official Contact | 6013625321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Hinds Comprehensive Health Center 3502 W Northside Dr Jackson MS 39213-4454 Ph: (601) 362-5321 | Jackson Hinds Comprehensive Health Center 3312 Oak St Vicksburg MS 39180-5042 Ph: (601) 629-9500 |
| NPI Number | 1205868593 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205868593 | NPI | - | NPPES |
| 09016169 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Margo R Marveggio Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Mission 66, Vicksburg, MS 39183 Phone: 601-636-6081 | |
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