CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC. NPI 1881628741

NPI Information

NPI: 1881628741
Provider Name: CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.

Doing Business As: JACKSON HINDS COMPREHENSIVE HEALTH CENTER

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
260 HIGHWAY 18
UTICA, MS
ZIP 39175
Phone: (601) 885-8765
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CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. is a student health clinic center in Utica, MS. CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. NPI is 1881628741. 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:

260 HIGHWAY 18
UTICA, MS
ZIP 39175
Phone: (601) 885-8765
Fax: (601) 885-2083

The provider's authorized official is Jasmin 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 7/10/2006 and was last updated on 7/9/2009.

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
1	261QS1000X	Clinic/Center	Student Health			Yes

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
1	251907	MEDICARE OSCAR/CERTIFICATION	MISSISSIPPI
2	02884328	MEDICAID	MISSISSIPPI

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

NPI Synchronization or Removal

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