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Organization

CENTRAL MISSISSIPPI HEALTH SERVICES, INC

Active
Parent organization
CENTRAL MISSISSIPPI HEALTH SERVICES, INC
Other names
Central MS Health Service Mobile Unit
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRAL MISSISSIPPI HEALTH SERVICES, INC
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

Other

Enumeration date
11/17/2021
Last updated
11/17/2021
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