Organization · Type 2 NPI
Central Mississippi Civic Improvement Association, Inc
Federally Qualified Health Center (FQHC) · Jackson, MS
NPI number
1134592777
Active
Practice location
415 Claiborne Ave
Jackson, MS 39209-5321
Mailing address
3502 W Northside Dr
Jackson, MS 39213-4454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1134592777
Central Mississippi Civic Improvement Association, Inc's National Provider Identifier is 1134592777, issued on Nov 4, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jackson, MS. The record was last updated on Nov 4, 2015.