institution
Central Mississippi Civic Improvement Association, Inc
Federally Qualified Health Center (FQHC) in Utica, Mississippi
NPI 1700813052

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 Utica, MS. The NPI Number for Central Mississippi Civic Improvement Association, Inc is 1700813052 and holds a License No. (Mississippi).

The current practice location address for Central Mississippi Civic Improvement Association, Inc is 129 White Oak St, Utica, MS and can be reached out via phone at 601-882-6021 and via fax at 601-885-2268.

Location: 129 White Oak St, Utica, MS, 39213-4454
institution
Provider Profile Details
NPI Number
1700813052
Provider Name
Central Mississippi Civic Improvement Association, Inc
Credential
Provider Entity Type
Organization
Address
129 White Oak St, Utica, MS, 39213-4454
Phone Number
601-882-6021
Fax Number
601-885-2268
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09014681 05 MS
institution
Provider Business Practice Location Address Details
Address
129 White Oak St
City
State
Zip
39175-8803
Phone Number
601-882-6021
Fax Number
601-885-2268
person
Provider Business Mailing Address Details
Address
129 White Oak St
City
State
Zip
39175-8803
Phone Number
601-882-6021
Fax Number
601-885-2268
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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