Jackson-hinds Comprehensive Health Center Edwards Site is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Edwards, Mississippi. The current practice location for Jackson-hinds Comprehensive Health Center Edwards Site is 100 South Magnolia Street, Edwards, Mississippi. For appointments, you can reach them via phone at
(601) 362-5321. The mailing address for Jackson-hinds Comprehensive Health Center Edwards Site is 3502 W Northside Dr, Jackson, Mississippi and phone number is (601) 362-5321.
Jackson-hinds Comprehensive Health Center Edwards Site is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1346684826. 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) 362-5321.
Primary Care Clinic Profile
| Full Name | Jackson-hinds Comprehensive Health Center Edwards Site |
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| Speciality | Clinic/Center |
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| Location | 100 South Magnolia Street, Edwards, Mississippi |
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| Authorized Official Name and Position | Jasmin Chapman (CHIEF EXECUTIVE OFFICER) |
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| Authorized Official Contact | 6013625321 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jackson-hinds Comprehensive Health Center Edwards Site
3502 W Northside Dr
Jackson
MS 39213-4454
Ph: (601) 362-5321 | Jackson-hinds Comprehensive Health Center Edwards Site
100 South Magnolia Street
Edwards
MS 39066
Ph: (601) 362-5321 |
NPI Details:
| NPI Number | 1346684826 |
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| Provider Enumeration Date | 04/26/2013 |
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| Last Update Date | 10/02/2013 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4183533235 |
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| Medicare Enrollment ID | O20131230001420 |
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Medical Identifiers
Medical identifiers for Jackson-hinds Comprehensive Health Center Edwards Site such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346684826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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