Organization · Type 2 NPI

Central Mississippi Civic Improvement Association, Inc

Federally Qualified Health Center (FQHC) · Vicksburg, MS

NPI number 1932145539 Active

Practice location

2524 S Frontage Rd
Vicksburg, MS 39180-5269

Fax (601) 364-5159

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 1932145539

Central Mississippi Civic Improvement Association, Inc's National Provider Identifier is 1932145539, issued on Jun 21, 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 Feb 1, 2022.