# CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JACKSON HINDS COMPREHENSIVE HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548342611
- **Authorized official:** DR. JASMIN CHAPMAN D.D.S (CEO)
- **Authorized official phone:** (601) 362-5321

## Contact information

- **Practice address:** 3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
- **Practice address phone:** (601) 362-5321
- **Practice address fax:** (601) 364-2600
- **Mailing address:** 3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
- **Mailing address phone:** (601) 362-5321
- **Mailing address fax:** (601) 364-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 0081704.5 | MS | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 01/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330664 | — | MS |