Organization
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION
Active
Parent organization
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION
Other names
JACKSON HINDS COMPREHENSIVE HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION
Authorized official
DR. JASMIN CHAPMAN DDS (CEO)
(601) 362-5321
Entity
Organization
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013452
—
MS
Enumeration date
07/07/2006
Last updated
04/25/2011
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