Central Mississippi Civic Improvement Association, Inc in Jackson - Federally Qualified Health Center (fqhc)
Central Mississippi Civic Improvement Association, Inc - NPI 1972535250
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 1972535250. The last update date is 2010-10-29.
Central Mississippi Civic Improvement Association, Inc's current location address is 3502 W Northside Dr, Jackson, Mississippi. You can contact this provider via phone number 6013625321 and fax number 6013642600. The mailing address for Central Mississippi Civic Improvement Association, Inc is 3502 W Northside Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Mississippi Civic Improvement Association, Inc |
|---|---|
| Address | 3502 W Northside Dr, Jackson, Mississippi |
| Phone Number | 6013625321 |
| Fax Number | 6013642600 |
| 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 | 1972535250 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2010-10-29 |
Provider Mailing Address Detail
| Address | 3502 W Northside Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392134454 |
| Phone Number | 6013625321 |
| Fax Number | 6013642600 |
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 |
|---|---|---|---|
| 9014686 | 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) 1972535250. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Central Mississippi Civic Improvement Association, Inc?
The Central Mississippi Civic Improvement Association, Inc is physically situated at 3502 W Northside Dr, in the city of Jackson, state of MS, with the postal code 392134454.
What is Central Mississippi Civic Improvement Association, Inc'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, Inc is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
When did Central Mississippi Civic Improvement Association, Inc receive its 1972535250 assignment?
The Central Mississippi Civic Improvement Association, Inc was assigned its 1972535250 on 2006-07-07, which is the date when this unique identifier was issued to the organization.
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.