Organization
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC
Active
Organization
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC
Active
Other names
Copiah Comprehensive Health Complex
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASMIN R CHAPMAN DDS (CEO)
(601) 362-5321
Entity
Organization
Contact information
Practice address
550 CALDWELL DR, HAZLEHURST, MS 39083-2304
(601) 894-1448
(601) 894-2903
Mailing address
3502 W NORTHSIDE DRIVE, JACKSON, MS 39213
(601) 362-5321
(601) 364-5159
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016087
—
MS
Enumeration date
06/03/2006
Last updated
10/29/2010
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