NPI 1386018083

Jefferson County Hospital

Organisation Psychiatric Hospital Unit Fayette, MS

Practice location

Address: 870 Main St, Fayette, MS 39069-5695
Phone: (601) 786-3401
Fax: (601) 786-3400
Mailing address: PO Box 577, Fayette, MS 39069-0577

Authorised official

Name: Wanda Fleming
Title: Administrator
Phone: (601) 786-3401

Registered specialties

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 21-238 (MS)

Other Psychiatric Unit providers in Mississippi →

Registry record

NPI: 1386018083
Entity type: Organization
NPI issued: 18 Nov 2015
Record last updated: 18 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.