OrganizationActive
Jefferson Comprehensive Health Center Inc
NPI 1891328480 · Federally Qualified Health Center (FQHC) · Fayette, MS
Provider details
- NPI number
- 1891328480
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shirley Ellis-Stampley, Ceo(601) 786-3475
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 Main St
Fayette, MS 39069-5576
Phone: (601) 786-3475
Fax: (601) 786-6320
Street-level locationGet directions
Mailing address
Po Box 98
Fayette, MS 39069-0098
Other names (DBA / former)
- Doing business as
- Jefferson Comprehensive Health Center, Inc. Medical/Dental Mobile Unit
Registry dates
- Enumerated
- 2020-02-21
- Last updated
- 2020-02-21
- Certified
- 2020-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.