| 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 - Federally Qualified Health Center (fqhc) |
| Location | 3312 Oak St, Vicksburg, Mississippi |
| Authorized Official Name and Position | Jasmin Champman (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 | 1265464556 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265464556 | NPI | - | NPPES |
| 09014146 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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