| Jefferson Comprehensive Health Center, Inc. | |
|
319 Sgt Prentiss Dr Natchez MS 39120-4225 | |
| (601) 786-3475 | |
| (601) 786-9980 |
| Full Name | Jefferson Comprehensive Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 319 Sgt Prentiss Dr, Natchez, Mississippi |
| Authorized Official Name and Position | Deborah Ann Gamble (CREDENTAILING) |
| Authorized Official Contact | 6017863475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Comprehensive Health Center, Inc. Po Box 98 Fayette MS 39069-0098 Ph: (601) 786-3475 | Jefferson Comprehensive Health Center, Inc. 319 Sgt Prentiss Dr Natchez MS 39120-4225 Ph: (601) 786-3475 |
| NPI Number | 1538924840 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 0345248100 |
|---|---|
| Medicare Enrollment ID | O20240412001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538924840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Kenitra Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891218046 PECOS PAC ID: 3971036781 Enrollment ID: I20241101000222 |
| Provider Name | Jermonique King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033531512 PECOS PAC ID: 9638602303 Enrollment ID: I20241101003539 |
Us Star Nursing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 East Woodlawn Avenue, Natchez, MS 39120 Phone: 601-304-2043 | |
Jefferson Comprehensive Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Homochitto St, Natchez, MS 39120 Phone: 601-786-3475 Fax: 601-786-9980 | |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Highway 61 N, Natchez, MS 39120 Phone: 601-861-1631 | |
Natchez Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Sgt Prentiss Dr, Suite 202, Natchez, MS 39120 Phone: 601-443-2100 Fax: 601-443-2885 | |
Anthony L Buckles Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Northgate Rd Ste D, Natchez, MS 39120 Phone: 708-595-3660 | |
Leslie E England Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Jefferson Davis Blvd Ste C, Natchez, MS 39120 Phone: 601-442-9802 Fax: 601-442-5802 | |
Jefferson Comprehensive Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 N. Dr. Mlk Jr. Street, Natchez, MS 39120 Phone: 601-786-3475 Fax: 601-786-9980 |