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CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC. NPI 1033649058


NPI Information

NPI: 1033649058
Provider Name: CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.

Doing Business As: JACKSON-HINDS COMPREHENSIVE HEALTH CENTER - PHYSICAL THERAPY

Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

CLIA Number: 25D0995020

Address:
3502 W NORTHSIDE DR
JACKSON, MS
ZIP 39213
Phone: (601) 362-5321
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CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. is a physical therapy clinic center in Jackson, MS. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. NPI is 1033649058. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson-hinds Comprehensive Health Center - Physical Therapy.

The provider's business location address is:

3502 W NORTHSIDE DR
JACKSON, MS
ZIP 39213-454
Phone: (601) 362-5321

The provider's authorized official is Jasmin Chapman .
The authorized official title is Chief Executive Officer and has the following contact phone number (601) 364-5142.

The CLIA number assigned to this NPI record is 25D0995020 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/13/2017 and was last updated on 12/22/2017.


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
1261QP2000XClinic/CenterPhysical TherapyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDMISSISSIPPI

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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