| Jefferson County Hospital Multispecialty Clinic | |
|
870 Main St Fayette MS 39069-5695 | |
| (601) 786-3401 | |
| Not Available |
| Full Name | Jefferson County Hospital Multispecialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 870 Main St, Fayette, Mississippi |
| Authorized Official Name and Position | Linda Stjulien (CEO) |
| Authorized Official Contact | 6017863401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson County Hospital Multispecialty Clinic Po Box 577 Fayette MS 39069-0577 Ph: (601) 786-3401 | Jefferson County Hospital Multispecialty Clinic 870 Main St Fayette MS 39069-5695 Ph: (601) 786-3401 |
| NPI Number | 1841971348 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 12/12/2023 |
| Medicare PECOS PAC ID | 5496657876 |
|---|---|
| Medicare Enrollment ID | O20231013000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841971348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Janelle R Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134150006 PECOS PAC ID: 2062577083 Enrollment ID: I20150304001611 |
Anazia Medical Ii, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1264 Main Street, Suite A, Fayette, MS 39069 Phone: 601-786-0390 Fax: 601-786-0730 | |
Bounds Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Main St Ste A, Fayette, MS 39069 Phone: 601-809-0882 Fax: 601-809-0883 | |
Prime Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Community Dr, Fayette, MS 39069 Phone: 601-786-8655 Fax: 601-786-8656 | |
Emergency Room Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Main Street, Fayette, MS 39069 Phone: 601-786-3401 Fax: 601-786-3400 | |
Healsafe Wound Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1770 Highway 33, Fayette, MS 39069 Phone: 601-431-6040 | |
Jefferson Comprehensive Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 468 Highway 33, Fayette, MS 39069 Phone: 601-786-3475 Fax: 601-786-9980 | |
Jefferson County Hospital Er Physician Claims Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Main Street, Fayette, MS 39069 Phone: 601-786-3401 Fax: 601-786-3400 |