Organization
CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY JOHNSON (HUMAN RESOURCE MANAGER)
(601) 948-5572
Entity
Organization
Contact information
Practice address
1134 WINTER ST, JACKSON, MS 39204-2841
(601) 948-5572
(601) 914-3012
Mailing address
1134 WINTER ST, JACKSON, MS 39204-2841
(601) 948-5572
(601) 914-3012
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
305R00000X
Preferred Provider Organization
—
MS
Other
Enumeration date
08/26/2016
Last updated
04/28/2022
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