Central Mississippi Civic Improvement Association, Inc in Jackson - Federally Qualified Health Center (fqhc)
Central Mississippi Civic Improvement Association, Inc - NPI 1205021946
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 1205021946. The last update date is 2010-10-29.
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 R Jasmin |
| Credentials | DDS |
| Telephone Number | 6013625321 |
NPI Number Detail
| NPI Number | 1205021946 |
|---|---|
| Provider Enumeration Date | 2007-09-06 |
| Last Updated Date | 2010-10-29 |
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 |
|---|---|---|---|
| 9014683 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Central Mississippi Civic Improvement Association, Inc by the Centers for Medicare & Medicaid Services?
The Central Mississippi Civic Improvement Association, Inc has been assigned the NPI (National Provider Identifier) 1205021946 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Central Mississippi Civic Improvement Association, Inc's physical address?
The Central Mississippi Civic Improvement Association, Inc is physically located at 3502 W Northside Dr, in the city of Jackson, MS, with the postal code 392134454.
What is Central Mississippi Civic Improvement Association, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Central Mississippi Civic Improvement Association, Inc is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
When did the Central Mississippi Civic Improvement Association, Inc receive its 1205021946?
The Central Mississippi Civic Improvement Association, Inc was issued its 1205021946 on 2007-09-06, which is the date when the organization was assigned this unique identifier.
When was the information regarding Central Mississippi Civic Improvement Association, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Central Mississippi Civic Improvement Association, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-10-29.