Organization Name: | JONESTOWN HEALTH CENTER |
NPI Number: | 1831198373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GORETTI GERMAIN (COORDINATOR) |
Mailing Address: | 280 Second Street Jonestown |
State: | MS US |
Postal Code: | 386390079 |
Phone Number: | 6623584377 |
Fax Number: | 6623584371 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |