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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