| Jackson-hinds Medical Mobile Unit 4 | |
|
3502 W Northside Dr New Mobile Unit 4 Jackson MS 39213-4454 | |
| (601) 362-5321 | |
| Not Available |
| Full Name | Jackson-hinds Medical Mobile Unit 4 |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3502 W Northside Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Jasmin O Chapman (CEO) |
| Authorized Official Contact | 6013625321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson-hinds Medical Mobile Unit 4 Po Box 3437 Jackson MS 39207-3437 Ph: (601) 362-5321 | Jackson-hinds Medical Mobile Unit 4 3502 W Northside Dr New Mobile Unit 4 Jackson MS 39213-4454 Ph: (601) 362-5321 |
| NPI Number | 1437829777 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Certification Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437829777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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