| Jackson Hinds Comprehensive Health Center | |
|
2524 S Frontage Rd Vicksburg MS 39180-5269 | |
| (601) 634-8850 | |
| (601) 364-5159 |
| Full Name | Jackson Hinds Comprehensive Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2524 S Frontage Rd, Vicksburg, Mississippi |
| Authorized Official Name and Position | Jasmin 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 |
|---|---|
| Jackson Hinds Comprehensive Health Center 3502 W Northside Dr Jackson MS 39213-4454 Ph: (601) 362-5321 | Jackson Hinds Comprehensive Health Center 2524 S Frontage Rd Vicksburg MS 39180-5269 Ph: (601) 634-8850 |
| NPI Number | 1932145539 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 02/01/2022 |
| Medicare PECOS PAC ID | 4183533235 |
|---|---|
| Medicare Enrollment ID | O20090721000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932145539 | NPI | - | NPPES |
| 03772502 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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