Organization · Type 2 NPI
Central Mississippi Civic Improvement Association, Inc
Federally Qualified Health Center (FQHC) · Tougaloo, MS
NPI number
1235167891
Active
Practice location
500 W County Line Rd
Tougaloo, MS 39174-9700
Fax (601) 978-3938
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...
4 other providers at this address
- Central Mississippi Health Services, IncFederally Qualified Health Center (FQHC) Tougaloo, MS NPI 1982746087
- V A NorthOccupational Therapist Tougaloo, MS NPI 1548322951
- Janice Bacon, MDPediatrics Physician Tougaloo, MS NPI 1750438446
- Morlyn Russell, FNPC, BSN, RNFamily Nurse Practitioner Tougaloo, MS NPI 1992070825
Other federally qualified health center (fqhc) providers in Tougaloo
About NPI 1235167891
Central Mississippi Civic Improvement Association, Inc's National Provider Identifier is 1235167891, issued on Jun 30, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Tougaloo, MS. The record was last updated on Feb 3, 2021.