<unavail> in Hazlehurst, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Hazlehurst, Mississippi. The current practice location for is 550 Caldwell Dr, Hazlehurst, Mississippi. For appointments, you can reach them via phone at (601) 894-1448. The mailing address for is 3502 W Northside Drive, Jackson, Mississippi and phone number is (601) 362-5321.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760420335. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 894-1448.

Contact Information


	550 Caldwell Dr Hazlehurst MS 39083-2304
	(601) 894-1448
	(601) 894-2903

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	550 Caldwell Dr, Hazlehurst, Mississippi
Authorized Official Name and Position	Jasmin R Chapman (CEO)
Authorized Official Contact	6013625321
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3502 W Northside Drive Jackson MS 39213 Ph: (601) 362-5321	550 Caldwell Dr Hazlehurst MS 39083-2304 Ph: (601) 894-1448

NPI Details:

NPI Number	1760420335
Provider Enumeration Date	06/03/2006
Last Update Date	10/29/2010

Medicare PECOS Information:

Medicare PECOS PAC ID	4183533235
Medicare Enrollment ID	O20090302000159

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760420335	NPI	-	NPPES
09016087	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Hazlehurst, MS

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-2514 Fax: 601-894-2514
Mahesh Mehta Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27190 Highway 28, Hazlehurst, MS 39083 Phone: 601-944-1717 Fax: 601-944-9780
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Lake St, Hazlehurst, MS 39083 Phone: 601-552-5253
Nurturing Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10097 Barlow Rd, Hazlehurst, MS 39083 Phone: 601-341-0292

- Medicare Primary Care in Hazlehurst, MS