CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. (NPI# 1023586609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023586609 |
| Entity Type | Organization |
| Organization Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. |
| Practice Address |
417 Palestine St Raymond MS 39154-7618 |
| Mailing Address |
3502 W Northside Dr Jackson MS 39213-4454 |
| Practice Telephone | 6013625321 |
| Mailing Telephone | 6013625321 |
| Mailing Fax Number | 6013645159 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Authorized Official Name | JASMIN CHAPMAN (CEO) |
| Authorized Official Telephone | 6013645142 |
| 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 |
| Other Name | Type Code |
|---|---|
| Raymond Elementary School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033687611 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 14050 Highway 18, Raymond, MS 39154-9795 | 2018-11-13 |
| 1316415292 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 560 Port Gibson St, Raymond, MS 39154-9746 | 2018-11-08 |
| 1750799383 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 235 W Beasley St, Terry, MS 39170-8154 | 2014-07-28 |
| 1467868372 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 7241 Gary Rd, Byram, MS 39272-8947 | 2014-07-11 |
| 1427377266 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 350 Woodrow Wilson Blvd, Jackson, MS 39213-4454 | 2010-05-19 |
| 1881628741 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 260 Highway 18, Utica, MS 39175 | 2006-07-10 |
| 1255360483 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 1655 Whiting Rd, Jackson, MS 39209-5826 | 2006-07-01 |
| 1770511370 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 146 E Ash St, Jackson, MS 39202-2217 | 2006-06-30 |
| 1033649058 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2017-06-13 |
| 1659789360 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 2009 Byram Bulldog Blvd, Terry, MS 39170-8632 | 2014-07-25 |
| Street Address |
417 PALESTINE ST |
| City | RAYMOND |
| State | MS |
| Zip Code | 39154-7618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649520446 | Katherine Gaynell Garrison | Nurse Anesthetist, Certified Registered | 214 Port Gibson St, Raymond, MS 39154 | 2012-09-19 |
| 1194938126 | Hiram Alfonso Gatewood Jr. | Dentist | 450 Main St., Raymond, MS 39154 | 2007-05-07 |
| 1275745432 | Hinds County School District | Registered Nurse | 417 Palestine Road, Raymond, MS 39154 | 2007-05-03 |
| 1154418655 | First Family Healthcare Center, Pllc | Family Medicine | 119 South Oak Street, Ste 2, Raymond, MS 39154 | 2006-10-06 |
| 1558503698 | Martha Michelle Chambers | Nurse Practitioner | 119 South Oak Street, Suite 2, Raymond, MS 39154 | 2009-04-06 |
| 1225259583 | Trucare Hospice, LLC | Hospice Care, Community Based | 120 West Main St, Suite B, Raymond, MS 39154 | 2007-05-02 |
| 1063593283 | Tranquility Hospice | Hospice Care, Community Based | 120 West Main St, Raymond, MS 39154 | 2006-10-17 |
| 1932314192 | Raymond Drug Store,inc. | Pharmacy | 112 W.main St., Raymond, MS 39154-1205 | 2007-05-11 |
| 1669575627 | Minor Med Care, P.a. | Clinic/Center | 120 W Main St, Raymond, MS 39154-1223 | 2006-09-06 |
| 1548720568 | First Choice Family Healthcare Clinic Pllc | Clinic/Center | 119 S Oak Ste 2, Raymond, MS 39154-4205 | 2019-03-25 |
| Find all providers in zip 39154 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033687611 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 14050 Highway 18, Raymond, MS 39154-9795 | 2018-11-13 |
| 1316415292 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 560 Port Gibson St, Raymond, MS 39154-9746 | 2018-11-08 |
| 1205196540 | Lewis County Community Health Services | Clinic/Center | 300 Ocean Ave, Raymond, WA 98577-3016 | 2012-05-21 |
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|---|---|---|---|---|
| 1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
| 1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
| 1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
| 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 |
| 1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
| 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 | ||||
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| 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.