Organization · Type 2 NPI

Central Mississippi Civic Improvement Association, Inc

Federally Qualified Health Center (FQHC) · Jackson, MS

NPI number 1689047201 Active

Practice location

386 Raymond Rd
Jackson, MS 39204-3700

Call (601) 364-5142 Map

Mailing address

3502 W Northside Dr
Jackson, MS 39213-4454

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1689047201

Central Mississippi Civic Improvement Association, Inc's National Provider Identifier is 1689047201, 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.