Central Mississippi Civic Improvement Association Inc. in Jackson - Federally Qualified Health Center (fqhc)
Central Mississippi Civic Improvement Association Inc. - NPI 1275561862
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 1275561862. The last update date is 2012-05-15.
Central Mississippi Civic Improvement Association Inc.'s current location address is 145 Raymond Road, Jackson, Mississippi. You can contact this provider via phone number 6013721800 and fax number 6013727043. The mailing address for Central Mississippi Civic Improvement Association Inc. is 145 Raymond Road, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Mississippi Civic Improvement Association Inc. |
|---|---|
| Address | 145 Raymond Road, Jackson, Mississippi |
| Phone Number | 6013721800 |
| Fax Number | 6013727043 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Chapman Jasmin |
| Credentials | DDS |
| Telephone Number | 6013625321 |
NPI Number Detail
| NPI Number | 1275561862 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2012-05-15 |
Provider Mailing Address Detail
| Address | 145 Raymond Road |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 3920438020 |
| Phone Number | 6013721800 |
| Fax Number | 6013727043 |
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 |
|---|---|---|---|
| 9014685 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1275561862 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Central Mississippi Civic Improvement Association Inc. is physically located?
The Central Mississippi Civic Improvement Association Inc. is physically situated at the following address: 145 Raymond Road, Jackson, MS, 3920438020.
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 the assignment of its 1275561862 from the Centers for Medicare & Medicaid Services?
The Central Mississippi Civic Improvement Association Inc. was issued its 1275561862 by the Centers for Medicare & Medicaid Services on 2006-06-30.
When was the information related to Central Mississippi Civic Improvement Association Inc. most recently updated or refreshed?
The details pertaining to the Central Mississippi Civic Improvement Association Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2012-05-15.