| Jackson-hinds Comprehensive Health Center Byram Middle School-based Cl | |
|
2009 Byram Bulldog Blvd Terry MS 39170-8632 | |
| (601) 362-5321 | |
| (601) 364-5159 |
| Full Name | Jackson-hinds Comprehensive Health Center Byram Middle School-based Cl |
|---|---|
| Speciality | Clinic/Center |
| Location | 2009 Byram Bulldog Blvd, Terry, Mississippi |
| Authorized Official Name and Position | Jasmin Chapman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6013625321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson-hinds Comprehensive Health Center Byram Middle School-based Cl 3502 W Northside Dr Jackson MS 39213-4454 Ph: (601) 362-5321 | Jackson-hinds Comprehensive Health Center Byram Middle School-based Cl 2009 Byram Bulldog Blvd Terry MS 39170-8632 Ph: (601) 362-5321 |
| NPI Number | 1659789360 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Medicare PECOS PAC ID | 4183533235 |
|---|---|
| Medicare Enrollment ID | O20140929000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659789360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Quinn Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 W Cunningham Ave, Terry, MS 39170 Phone: 769-666-9021 | |
Whitney William Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1290 Caroline Dr, Terry, MS 39170 Phone: 601-944-1717 Fax: 601-944-9780 | |
Jackson-hinds Comprehensive Health Center - Terry High School-based Cl Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 W Beasley St, Terry, MS 39170 Phone: 601-362-5321 Fax: 601-364-5159 |