| Copiah Comprehensive Health Complex | |
|
550 Caldwell Dr Hazlehurst MS 39083-2304 | |
| (601) 894-1448 | |
| (601) 894-2903 |
| Full Name | Copiah Comprehensive Health Complex |
|---|---|
| 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 | Practice Location Address |
|---|---|
| Copiah Comprehensive Health Complex 3502 W Northside Drive Jackson MS 39213 Ph: (601) 362-5321 | Copiah Comprehensive Health Complex 550 Caldwell Dr Hazlehurst MS 39083-2304 Ph: (601) 894-1448 |
| NPI Number | 1760420335 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 10/29/2010 |
| Medicare PECOS PAC ID | 4183533235 |
|---|---|
| Medicare Enrollment ID | O20090302000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760420335 | NPI | - | NPPES |
| 09016087 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hazlehurst Clinic 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 |