Central Mississippi Civic Improvement Association, Inc in Utica - Federally Qualified Health Center (fqhc)
Central Mississippi Civic Improvement Association, Inc - NPI 1700813052
Central Mississippi Civic Improvement Association, Inc is a Federally Qualified Health Center (fqhc) in Utica, 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 1700813052. The last update date is 2012-05-11.
Central Mississippi Civic Improvement Association, Inc's current location address is 129 White Oak St, Utica, Mississippi. You can contact this provider via phone number 6018826021 and fax number 6018852268. The mailing address for Central Mississippi Civic Improvement Association, Inc is 129 White Oak St, Utica, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Mississippi Civic Improvement Association, Inc |
|---|---|
| Address | 129 White Oak St, Utica, Mississippi |
| Phone Number | 6018826021 |
| Fax Number | 6018852268 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Chapman Jasmin |
| Credentials | DDS |
| Telephone Number | 6013625321 |
NPI Number Detail
| NPI Number | 1700813052 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2012-05-11 |
Provider Mailing Address Detail
| Address | 129 White Oak St |
|---|---|
| City | Utica |
| State | Mississippi (MS) |
| Post Code | 391758803 |
| Phone Number | 6018826021 |
| Fax Number | 6018852268 |
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 |
|---|---|---|---|
| 9014681 | 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) 1700813052 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Central Mississippi Civic Improvement Association, Inc located?
The Central Mississippi Civic Improvement Association, Inc is located at 129 White Oak St, Utica, MS 391758803.
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 1700813052 assignment from the Centers for Medicare & Medicaid Services?
The Central Mississippi Civic Improvement Association, Inc was assigned its 1700813052 by the Centers for Medicare & Medicaid Services on 2006-06-26.
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 2012-05-11.
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