| Jefferson County Hospital | |
|
870 Main St Fayette MS 39069-5695 | |
| (601) 786-3401 | |
| (601) 786-3400 |
| Full Name | Jefferson County Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 870 Main St, Fayette, Mississippi |
| Authorized Official Name and Position | Wanda Fleming (ADMINISTRATOR) |
| Authorized Official Contact | 6017863401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson County Hospital Po Box 577 Fayette MS 39069-0577 Ph: (601) 786-3401 | Jefferson County Hospital 870 Main St Fayette MS 39069-5695 Ph: (601) 786-3401 |
| NPI Number | 1386018083 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386018083 | NPI | - | NPPES |
| 25S060 | Other | MS | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 21-238 (Mississippi) | Primary |
Jefferson County Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 870 South Main Street, Fayette, MS 39069 Phone: 601-786-3401 Fax: 601-786-3400 | |
Mellow Minds Behavioral Health Wellness & Counseling Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 225 Community Dr, Fayette, MS 39069 Phone: 601-809-0500 | |
Medgar Evers Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Gilchrist St., Fayette, MS 39069 Phone: 601-786-3955 |