CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC (NPI# 1700813052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700813052 |
| Entity Type | Organization |
| Organization Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Other Organization Name | JACKSON HINDS COMPREHENSIVE HEALTH CENTER |
| Practice Address |
129 White Oak St Utica MS 39175-8803 |
| Mailing Address |
3502 W Northside Dr Jackson MS 39213-4454 |
| Practice Telephone | 6018826021 |
| Practice Fax Number | 6018852268 |
| Mailing Telephone | 6013625321 |
| Mailing Fax Number | 6013642600 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2012-05-11 |
| Authorized Official Name | DR. JASMIN CHAPMAN (CEO) |
| Authorized Official Telephone | 6013625321 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014681 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson Hinds Comprehensive Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689047292 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 3930 Skyview Dr, Jackson, MS 39213-5318 | 2015-11-04 |
| 1134592777 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 415 Claiborne Ave, Jackson, MS 39209-5321 | 2015-11-04 |
| 1205021946 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 327 S Gallatin St, Jackson, MS 39203-3514 | 2007-09-06 |
| 1932145539 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 1203 Mission Park Dr, Vicksburg, MS 39180-3747 | 2006-06-21 |
| 1760420335 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 | 2006-06-03 |
| 1811425291 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 7255 Gary Rd, Byram, MS 39272-8947 | 2017-05-30 |
| 1689047201 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 386 Raymond Rd, Jackson, MS 39204-3700 | 2015-11-04 |
| 1548342611 | Central Mississippi Civic Improvement Association, Inc | Pharmacy | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2006-10-19 |
| 1134151442 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2006-07-07 |
| 1972535250 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2006-07-07 |
| Street Address |
129 WHITE OAK ST |
| City | UTICA |
| State | MS |
| Zip Code | 39175-8803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174833396 | Martha L Lewis | Dentist | 105 Main Street E, Utica, MS 39175 | 2010-10-21 |
| 1881628741 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 260 Highway 18, Utica, MS 39175 | 2006-07-10 |
| 1609173533 | Luretha Kelly Burns | Social Worker | 1241 Lebanon Pinegrove Rd, Utica, MS 39175-9018 | 2011-02-11 |
| 1871915397 | Central Mississippi Outreach, LLC | Dentist | 2160 D Newman Rd, Utica, MS 39175-9039 | 2014-01-17 |
| 1861424145 | Central Mississippi Civic Imrovement Association | Clinic/Center | 6608 Highway 27, Utica, MS 39175-9226 | 2006-07-07 |
| 1912192238 | Charles L Gammel | Audiologist | 6608 Highway 27, Utica, MS 39175-9226 | 2007-09-10 |
| 1225489487 | Divinity Advantage Personal Care | Home Health | 2387 Worrell Rd, Utica, MS 39175-9302 | 2016-06-28 |
| 1215263033 | Alicia Ann Rials | Physical Therapist | 6077 Highway 18, Utica, MS 39175-9341 | 2009-10-29 |
| 1629150222 | Sharon Kay Banks | Occupational Therapist | 1308 Barlow Dr, Utica, MS 39175-9423 | 2006-10-20 |
| 1104079870 | Honor Therapy Services, LLC | Clinic/Center | 1308 Barlow Dr, Utica, MS 39175-9423 | 2008-10-28 |
| Find all providers in zip 39175 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
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| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.