Organization · Type 2 NPI

Central Mississippi Civic Improvement Association, Inc

Student Health Clinic/Center · Bolton, MS

NPI number 1760414494 Active

Practice location

9700 I 20 Frontage Rd
Bolton, MS 39041-9126

Call (601) 866-2522 Map

Mailing address

3502 W. Northside Drive
Jackson, MS 39213-4454

Specialties and licenses

Taxonomy	Code	License
Student Health Clinic/Center Primary	261QS1000X	None listed

Student Health Clinic/Center: Definition to come...

NPI record

NPI: 1760414494
Entity type: Organization (Type 2)
Issued: Jul 6, 2006
Last updated: Jan 20, 2021
Status: Active

Other names

<unavail>
Jackson Hinds Comprehensive Health Center · doing business as
Jackson Hinds Comprehensive Health Center · doing business as

Authorized official

Dr. Jasmin Chapman, DDS
CEO
(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 1760414494

Central Mississippi Civic Improvement Association, Inc's National Provider Identifier is 1760414494, issued on Jul 6, 2006. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Bolton, MS. The record was last updated on Jan 20, 2021.