Organization · Type 2 NPI
Central Mississippi Civic Improvement Association
Federally Qualified Health Center (FQHC) · Vicksburg, MS
NPI number
1265464556
Active
Practice location
3312 Oak St
Vicksburg, MS 39180-5042
Fax (601) 638-9044
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...
Another provider at this address
Other federally qualified health center (fqhc) providers in Vicksburg
About NPI 1265464556
Central Mississippi Civic Improvement Association's National Provider Identifier is 1265464556, issued on Jul 7, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Vicksburg, MS. The record was last updated on Sep 20, 2007.