Central Mississippi Civic Improvement Association, Inc. in Jackson - Federally Qualified Health Center (fqhc)
Central Mississippi Civic Improvement Association, Inc. - NPI 1154424554
Central Mississippi Civic Improvement Association, Inc. is a Federally Qualified Health Center (fqhc) in Jackson, Mississippi. Central Mississippi Civic Improvement Association, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Central Mississippi Civic Improvement Association, Inc. is 1154424554. The last update date is 2018-10-25.
Central Mississippi Civic Improvement Association, Inc.'s current location address is 3502 W Northside Dr, Jackson, Mississippi. You can contact this provider via phone number 6013625321 and fax number 6013642600. The mailing address for Central Mississippi Civic Improvement Association, Inc. is 3502 W Northside Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Mississippi Civic Improvement Association, Inc. |
|---|---|
| Address | 3502 W Northside Dr, Jackson, Mississippi |
| Phone Number | 6013625321 |
| Fax Number | 6013642600 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Chapman O Jasmin |
| Credentials | DDS |
| Telephone Number | 6013645142 |
NPI Number Detail
| NPI Number | 1154424554 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2018-10-25 |
Provider Mailing Address Detail
| Address | 3502 W Northside Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392134454 |
| Phone Number | 6013625321 |
| Fax Number | 6013642600 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 376796 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Central Mississippi Civic Improvement Association, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Central Mississippi Civic Improvement Association, Inc. has been assigned the NPI (National Provider Identifier) 1154424554. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Central Mississippi Civic Improvement Association, Inc. is located?
The Central Mississippi Civic Improvement Association, Inc. is situated at the following address: 3502 W Northside Dr, Jackson, MS, 392134454.
What is Central Mississippi Civic Improvement Association, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Central Mississippi Civic Improvement Association, Inc.'s area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154424554 to Central Mississippi Civic Improvement Association, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1154424554 to Central Mississippi Civic Improvement Association, Inc. on 2006-09-07.
When was the information regarding Central Mississippi Civic Improvement Association, Inc. most recently updated?
The details pertaining to the Central Mississippi Civic Improvement Association, Inc., including its address, specialty, and other relevant information, were last refreshed on 2018-10-25.