| Commonwealth Apartment Complex | |
|
3930 Skyview Dr Jackson MS 39213-5318 | |
| (601) 364-5142 | |
| Not Available |
| Full Name | Commonwealth Apartment Complex |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3930 Skyview Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Jasmin Chapman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6013645142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Apartment Complex 3502 W Northside Dr Jackson MS 39213-4454 Ph: () - | Commonwealth Apartment Complex 3930 Skyview Dr Jackson MS 39213-5318 Ph: (601) 364-5142 |
| NPI Number | 1689047292 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689047292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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