Organization · Type 2 NPI

Central Mississippi Civic Improvement Association, Inc.

Federally Qualified Health Center (FQHC) · Edwards, MS

NPI number 1346684826 Active

Practice location

100 South Magnolia Street
Edwards, MS 39066

Call (601) 362-5321 Map

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...

NPI record

NPI: 1346684826
Entity type: Organization (Type 2)
Issued: Apr 26, 2013
Last updated: Oct 2, 2013
Status: Active
Subpart: Yes of Central Mississippi Civic Improvement Association Inc

Other names

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Jackson-Hinds Comprehensive Health Center Edwards Site · doing business as

Authorized official

Dr. Jasmin Chapman, DDS
Chief Executive Officer
(601) 362-5321

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346684826

Central Mississippi Civic Improvement Association, Inc.'s National Provider Identifier is 1346684826, issued on Apr 26, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Edwards, MS. The record was last updated on Oct 2, 2013.