Organization
LANGFORD FAMILY HEALTH, INC
Active
Other names
Central Mississippi Civic Improvement Association, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE THIGPEN (DATA PROJECT MANAGER)
(601) 362-5321
Entity
Organization
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
R851704
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01477236
—
MS
Enumeration date
03/22/2007
Last updated
07/27/2021
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