institution
Central Mississippi Civic Improvement Association
Federally Qualified Health Center (FQHC) in Vicksburg, Mississippi
NPI 1265464556

Central Mississippi Civic Improvement Association 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 practices in Vicksburg, MS. The NPI Number for Central Mississippi Civic Improvement Association is 1265464556 and holds a License No. (Mississippi).

The current practice location address for Central Mississippi Civic Improvement Association is 3312 Oak St, Vicksburg, MS and can be reached out via phone at 601-629-9500 and via fax at 601-638-9044. You can also correspond with Central Mississippi Civic Improvement Association through the mailing address at 3502 W NORTHSIDE DR, JACKSON, MS - 39213-4454 (mailing address contact number: 601-362-5321).

Location: 3312 Oak St, Vicksburg, MS, 39213-4454
institution
Provider Profile Details
NPI Number
1265464556
Provider Name
Central Mississippi Civic Improvement Association
Credential
Provider Entity Type
Organization
Address
3312 Oak St, Vicksburg, MS, 39213-4454
Phone Number
601-629-9500
Fax Number
601-638-9044
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09014146 05 MS
institution
Provider Business Practice Location Address Details
Address
3312 Oak St
City
State
Zip
39180-5042
Phone Number
601-629-9500
Fax Number
601-638-9044
person
Provider Business Mailing Address Details
Address
3312 Oak St
City
State
Zip
39180-5042
Phone Number
601-629-9500
Fax Number
601-638-9044
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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