Central Mississippi Civic Improvement Association, Inc in Hazlehurst - Federally Qualified Health Center (fqhc)
Central Mississippi Civic Improvement Association, Inc - NPI 1760420335
Central Mississippi Civic Improvement Association, Inc is a Federally Qualified Health Center (fqhc) in Hazlehurst, 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 1760420335. The last update date is 2010-10-29.
Central Mississippi Civic Improvement Association, Inc's current location address is 550 Caldwell Dr, Hazlehurst, Mississippi. You can contact this provider via phone number 6018941448 and fax number 6018942903. The mailing address for Central Mississippi Civic Improvement Association, Inc is 550 Caldwell Dr, Hazlehurst, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Mississippi Civic Improvement Association, Inc |
|---|---|
| Address | 550 Caldwell Dr, Hazlehurst, Mississippi |
| Phone Number | 6018941448 |
| Fax Number | 6018942903 |
| 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 | 1760420335 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2010-10-29 |
Provider Mailing Address Detail
| Address | 550 Caldwell Dr |
|---|---|
| City | Hazlehurst |
| State | Mississippi (MS) |
| Post Code | 390832304 |
| Phone Number | 6018941448 |
| Fax Number | 6018942903 |
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 |
|---|---|---|---|
| 9016087 | MS | -- |
Post Comment/ Review Below
What is the Central Mississippi Civic Improvement Association, Inc's unique identification number?
The Central Mississippi Civic Improvement Association, Inc has been assigned the NPI (National Provider Identifier) Number 1760420335 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
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: 550 Caldwell Dr, Hazlehurst, MS, 390832304.
What is Central Mississippi Civic Improvement Association, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Central Mississippi Civic Improvement Association, Inc is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
On what date did the Central Mississippi Civic Improvement Association, Inc receive the assignment of its 1760420335 from the Centers for Medicare & Medicaid Services?
The Central Mississippi Civic Improvement Association, Inc was issued its 1760420335 by the Centers for Medicare & Medicaid Services on 2006-06-03.
As of what date was the information pertaining to Central Mississippi Civic Improvement Association, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Central Mississippi Civic Improvement Association, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-10-29.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY