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 CHAPMAN DDS (CEO)
(601) 362-5321
Entity
Organization
Contact information
Practice address
145 RAYMOND ROAD, JACKSON, MS 39204-3802
(601) 372-1800
(601) 372-7043
Mailing address
PO BOX 3437, JACKSON, MS 39207-3437
(601) 362-5321
(601) 364-2600
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014685
—
MS
Enumeration date
06/30/2006
Last updated
05/15/2012
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