Central Mississippi Civic Improvement Association, Inc in Tougaloo - Federally Qualified Health Center (fqhc)
Central Mississippi Civic Improvement Association, Inc - NPI 1235167891
Central Mississippi Civic Improvement Association, Inc is a Federally Qualified Health Center (fqhc) in Tougaloo, 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 1235167891. The last update date is 2021-02-03.
Central Mississippi Civic Improvement Association, Inc's current location address is 500 W County Line Rd, Tougaloo, Mississippi. You can contact this provider via phone number 6019783095 and fax number 6019783938. The mailing address for Central Mississippi Civic Improvement Association, Inc is 500 W County Line Rd, Tougaloo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Mississippi Civic Improvement Association, Inc |
|---|---|
| Address | 500 W County Line Rd, Tougaloo, Mississippi |
| Phone Number | 6019783095 |
| Fax Number | 6019783938 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Chapman Jasmin |
| Credentials | DDS |
| Telephone Number | 6013625321 |
NPI Number Detail
| NPI Number | 1235167891 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2021-02-03 |
Provider Mailing Address Detail
| Address | 500 W County Line Rd |
|---|---|
| City | Tougaloo |
| State | Mississippi (MS) |
| Post Code | 3917497000 |
| Phone Number | 6019783095 |
| Fax Number | 6019783938 |
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 |
|---|---|---|---|
| 9016118 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Central Mississippi Civic Improvement Association, Inc by the Centers for Medicare & Medicaid Services?
The Central Mississippi Civic Improvement Association, Inc has been issued the NPI (National Provider Identifier) 1235167891. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Central Mississippi Civic Improvement Association, Inc's facilities are situated?
The facilities of Central Mississippi Civic Improvement Association, Inc are physically located at the following address: 500 W County Line Rd, Tougaloo, MS, 3917497000.
What is the Central Mississippi Civic Improvement Association, Inc's area of specialization and corresponding taxonomy classification?
The Central Mississippi Civic Improvement Association, Inc's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Central Mississippi Civic Improvement Association, Inc receive its 1235167891 assignment from the Centers for Medicare & Medicaid Services?
The Central Mississippi Civic Improvement Association, Inc was assigned its 1235167891 by the Centers for Medicare & Medicaid Services on 2006-06-30.
When was the information pertaining to Central Mississippi Civic Improvement Association, Inc most recently updated or revised?
The details related to Central Mississippi Civic Improvement Association, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-03.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY