| Jonestown Health Center | |
|
280 Second Street Jonestown MS 38639-0079 | |
| (662) 358-4377 | |
| (662) 358-4371 |
| Full Name | Jonestown Health Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 280 Second Street, Jonestown, Mississippi |
| Authorized Official Name and Position | Goretti Germain (COORDINATOR) |
| Authorized Official Contact | 6623584377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonestown Health Center Po Box 79 Jonestown MS 38639-0079 Ph: (662) 358-4377 | Jonestown Health Center 280 Second Street Jonestown MS 38639-0079 Ph: (662) 358-4377 |
| NPI Number | 1831198373 |
|---|---|
| Provider Enumeration Date | 07/18/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831198373 | NPI | - | NPPES |
| 09010087 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jonestown Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Second Street, Jonestown, MS 38639 Phone: 662-358-4377 Fax: 662-358-4371 |