Jchc School Based Clinic High School

LBN: Jefferson Comprehensive Health Center Inc
Jchc School Based Clinic High School is an health care organization with primary practice located at Route 1 Box 266 , Fayette MS 39069. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Jefferson Comprehensive Health Center Inc can be contacted via phone (601) 786-3475, or through Ellis, Shirley A. via phone (601) 786-3475.

Contact Information

Primary practice address
Route 1 Box 266 Fayette MS 39069
Phone: (601) 786-3475
Fax: (601) 786-9980
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Shirley A. MBA
Phone: (601) 786-3475

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1922271691
LBN Legal business name Jefferson Comprehensive Health Center Inc
DBA Doing business as Jchc School Based Clinic High School
Authorized official Ellis, Shirley A. MBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 2nd, 2008
Last updated Dec 15th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922271691 NPPES
Mississippi MEDICAID 09015636

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