Organization · Type 2 NPI
Central Mississippi Civic Improvement Association, Inc
Federally Qualified Health Center (FQHC) · Jackson, MS
NPI number
1447448667
Active
Practice location
2185 Fortune St
Jackson, MS 39204-2333
Fax (601) 360-2625
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 1447448667
Central Mississippi Civic Improvement Association, Inc's National Provider Identifier is 1447448667, issued on Oct 12, 2007. 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 Jan 29, 2021.