Central Mississippi Civic Improvement Association in Vicksburg - Federally Qualified Health Center (fqhc)
Central Mississippi Civic Improvement Association - NPI 1265464556
Central Mississippi Civic Improvement Association is a Federally Qualified Health Center (fqhc) in Vicksburg, Mississippi. Central Mississippi Civic Improvement Association practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Central Mississippi Civic Improvement Association is 1265464556. The last update date is 2007-09-20.
Central Mississippi Civic Improvement Association's current location address is 3312 Oak St, Vicksburg, Mississippi. You can contact this provider via phone number 6016299500 and fax number 6016389044. The mailing address for Central Mississippi Civic Improvement Association is 3312 Oak St, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Mississippi Civic Improvement Association |
|---|---|
| Address | 3312 Oak St, Vicksburg, Mississippi |
| Phone Number | 6016299500 |
| Fax Number | 6016389044 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Champman Jasmin |
| Credentials | DDS |
| Telephone Number | 6013625321 |
NPI Number Detail
| NPI Number | 1265464556 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2007-09-20 |
Provider Mailing Address Detail
| Address | 3312 Oak St |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391805042 |
| Phone Number | 6016299500 |
| Fax Number | 6016389044 |
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014146 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Central Mississippi Civic Improvement Association?
The Central Mississippi Civic Improvement Association has been issued the NPI (National Provider Identifier) 1265464556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Central Mississippi Civic Improvement Association located?
The Central Mississippi Civic Improvement Association is located at 3312 Oak St, Vicksburg, MS 391805042.
What is Central Mississippi Civic Improvement Association's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Central Mississippi Civic Improvement Association is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did Central Mississippi Civic Improvement Association receive its 1265464556 assignment from the Centers for Medicare & Medicaid Services?
The Central Mississippi Civic Improvement Association was assigned its 1265464556 on 2006-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Central Mississippi Civic Improvement Association's details last updated?
The information pertaining to the Central Mississippi Civic Improvement Association, including its address, specialty, and other details, was most recently updated on 2007-09-20.