NPI | 1790717080 |
---|---|
Doing Business As | JACKSON HINDS COMPREHENSIVE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JASMIN CHAPMAN CEO 601-362-5321 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2011-04-25 |