institution
Central Mississippi Civic Improvement Association, Inc
Federally Qualified Health Center (FQHC) in Jackson, Mississippi
NPI 1972535250

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 1972535250 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
1972535250
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
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09014686 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.
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Definition
Definition to come...
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