Central Mississippi Civic Improvement Association, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Jackson, MS. Organization (NPI-2).
NPI number1215744396
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1215744396
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Mississippi Civic Improvement Association, INC.
- Organization subpart
- No
- Enumeration date
- Dec 12, 2024
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Jackson Hinds Comprehensive Health Center Unit 7 (Doing Business As)
Practice location
3502 W Northside DrJackson, MS 39213-4454
Phone 601-362-5321
Mailing address
3502 W Northside DrJackson, MS 39213-4454
Phone 601-362-5321
Authorized official
Linda Swilley
Consultant
6014795972
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