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CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC NPI 1447448667


NPI Information

NPI: 1447448667
Provider Name: CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC

Doing Business As: JACKSON HINDS COMPREHENSIVE HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2185 FORTUNE ST
JACKSON, MS
ZIP 39204
Phone: (601) 960-5354
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CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC is a federally qualified health center (fqhc) clinic center in Jackson, MS. CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC NPI is 1447448667. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Hinds Comprehensive Health Center.

The provider's business location address is:

2185 FORTUNE ST
JACKSON, MS
ZIP 39204-333
Phone: (601) 960-5354
Fax: (601) 360-2625

The provider's authorized official is Jasmin R Chapman .
The authorized official title is Ceo and has the following contact phone number (601) 362-5321.

The enumeration date for this NPI number is 10/12/2007 and was last updated on 1/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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