| Copiah Comprehensive Health Center | |
|
550 Caldwell Drive Hazlehurst MS 39083 | |
| (601) 894-1448 | |
| (601) 894-2903 |
| Full Name | Copiah Comprehensive Health Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 550 Caldwell Drive, Hazlehurst, Mississippi |
| Authorized Official Name and Position | Jasmin R. Chapman (CEO) |
| Authorized Official Contact | 6013625321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copiah Comprehensive Health Center 3502 W. Northside Drive Jackson MS 39213 Ph: (601) 362-5321 | Copiah Comprehensive Health Center 550 Caldwell Drive Hazlehurst MS 39083 Ph: (601) 894-1448 |
| NPI Number | 1770515058 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 05/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770515058 | NPI | - | NPPES |
| 09016170 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Jerry J Long Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-4732 Fax: 601-894-4732 | |
Gamblin Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-4732 | |
Carl Anthony Boykin, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S Extension St, Hazlehurst, MS 39083 Phone: 601-894-4244 Fax: 601-894-4344 | |
Taylor Campbell, Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 W Gallatin St, Hazlehurst, MS 39083 Phone: 601-894-1634 Fax: 601-894-1635 | |
Smile Design Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1047 W Gallman Rd, Hazlehurst, MS 39083 Phone: 601-955-7844 |