Central Mississippi Civic Improvement Association, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Jackson, MS. Organization (NPI-2).
NPI number1154424554
StatusActive
Last updated in NPPESOct 25, 2018
Details
- NPI
- 1154424554
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Mississippi Civic Improvement Association, INC.
- Organization subpart
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Oct 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | MS | Yes |
Other names
- Jackson-Hinds Comprehensive Health Center (Doing Business As)
Practice location
3502 W Northside DrJackson, MS 39213-4454
Phone 601-362-5321 · Fax 601-364-2600
Mailing address
3502 W Northside DrJackson, MS 39213-4454
Phone 601-362-5321 · Fax 601-364-2600
Authorized official
Jasmin O Chapman
Ceo
6013645142
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