institution
Central Mississippi Civic Improvement Association, Inc.
Federally Qualified Health Center (FQHC) in Jackson, Mississippi
NPI 1154424554

Central Mississippi Civic Improvement Association, Inc. is a Federally Qualified Health Center (FQHC) based in Jackson, MS and is specialized in Federally Qualified Health Center (FQHC). Central Mississippi Civic Improvement Association, Inc. practices in Jackson, MS. The NPI Number for Central Mississippi Civic Improvement Association, Inc. is 1154424554 and holds a License No. (Mississippi).

The current practice location address for Central Mississippi Civic Improvement Association, Inc. is 3502 W Northside Dr, Jackson, MS and can be reached out via phone at 601-362-5321 and via fax at 601-364-2600.

Location: 3502 W Northside Dr, Jackson, MS, 39213-4454
institution
Provider Profile Details
NPI Number
1154424554
Provider Name
Central Mississippi Civic Improvement Association, Inc.
Credential
Provider Entity Type
Organization
Address
3502 W Northside Dr, Jackson, MS, 39213-4454
Phone Number
601-362-5321
Fax Number
601-364-2600
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00376796 05 MS
institution
Provider Business Practice Location Address Details
Address
3502 W Northside Dr
City
State
Zip
39213-4454
Phone Number
601-362-5321
Fax Number
601-364-2600
person
Provider Business Mailing Address Details
Address
3502 W Northside Dr
City
State
Zip
39213-4454
Phone Number
601-362-5321
Fax Number
601-364-2600
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Mississippi)
Definition
Definition to come...
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