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CH04880F JEFFERSON COMPREHENSIVE HEALTH CENTER INC (Active)
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Main Details
Name
JEFFERSON COMPREHENSIVE HEALTH CENTER INC
Subdivision Name
JEFFERSON CNTY MID SCHOOL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003210
340B ID
CH04880F
Grant Number
H80CS00582
Additional Details
Current Program Status
Active
Registration Date
1/13/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/15/2023
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Jefferson Comprehensive Health Center, Inc.
Katrina Collins, Chief Executive Officer
(601) 786-3475
Primary Contact
Jefferson Comprehensive Health Center, Inc.
Charo Jackson, Chief Financial Officer
(601) 786-3475
Addresses
Street Address
RR 2 BOX 35C
FAYETTE, MS 39069
Billing Address
Jefferson Comprehensive Health Center, Inc.
405 Main Street
Fayette, MS 39069
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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