| Jackson Hinds Comprehensive Health Center | |
|
6608 Highway 27 Utica MS 39175-9226 | |
| (601) 882-6021 | |
| (601) 885-2268 |
| Full Name | Jackson Hinds Comprehensive Health Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6608 Highway 27, Utica, 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 6608 Highway 27 Utica MS 39175-9226 Ph: (601) 882-6021 |
| NPI Number | 1861424145 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861424145 | NPI | - | NPPES |
| 09014682 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Central Mississippi Outreach, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2160 D Newman Rd, Utica, MS 39175 Phone: 601-214-3041 |