Organization
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Active
Other names
Jackson-Hinds Comprehensive Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASMIN O CHAPMAN DDS (CEO)
(601) 364-5142
Entity
Organization
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 364-2600
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 364-2600
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00376796
—
MS
Enumeration date
09/07/2006
Last updated
10/25/2018
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