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 (CHIEF EXECUTIVE OFFICER)
(601) 362-5321
Entity
Organization
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
514 A-B EAST WOODROW WILSON, JACKSON, MS 39213
(601) 362-5321
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MS
Other
Enumeration date
06/19/2012
Last updated
08/07/2012
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