CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. (NPI# 1750799383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750799383 |
| Entity Type | Organization |
| Organization Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. |
| Other Organization Name | JACKSON-HINDS COMPREHENSIVE HEALTH CENTER - TERRY HIGH SCHOOL-BASED CL |
| Practice Address |
235 W Beasley St Terry MS 39170-8154 |
| Mailing Address |
3502 W Northside Dr Jackson MS 39213-4454 |
| Practice Telephone | 6013625321 |
| Practice Fax Number | 6013645159 |
| Mailing Telephone | 6013625321 |
| Mailing Fax Number | 6013645159 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |
| Authorized Official Name | DR. JASMIN CHAPMAN (CHIEF EXECUTIVE OFFICER) |
| 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 |
| Other Name | Type Code |
|---|---|
| Jackson-Hinds Comprehensive Health Center - Terry High School-based Cl | 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 |
| 1023586609 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 417 Palestine St, Raymond, MS 39154-7618 | 2018-11-13 |
| 1316415292 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 560 Port Gibson St, Raymond, MS 39154-9746 | 2018-11-08 |
| 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 |
235 W BEASLEY ST |
| City | TERRY |
| State | MS |
| Zip Code | 39170-8154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851595 | Barbara Sharp | Technician | 2260 Greengable Rd, Terry, MS 39170 | 2019-10-07 |
| 1356904171 | Hope Healthcare Agency, LLC | In Home Supportive Care | 13252 I-55 South Frontage Road, Terry, MS 39170 | 2019-04-17 |
| 1093120602 | Fideltyhealthcare | Home Health | 127 Garett Drive, Terry, MS 39170 | 2014-06-23 |
| 1104258912 | Freds Stores of Tennessee Inc | Pharmacy | 422 W. Cunningham Ave, Terry, MS 39170 | 2013-08-02 |
| 1083795561 | Terry Discount Drugs | Durable Medical Equipment & Medical Supplies | 128 Cunningham St, Terry, MS 39170 | 2006-10-18 |
| 1164537197 | Terry Discount Drugs | Pharmacy | 128 Cunningham Ave, Terry, MS 39170-0037 | 2006-08-20 |
| 1063629376 | Terry Family Medical Clinic | Nurse Practitioner | 120 W Raymond Street, Terry, MS 39170-0970 | 2007-05-17 |
| 1477650869 | Gloria O Areghan | Nurse Practitioner | 120 W. Raymond Street, Terry, MS 39170-0970 | 2006-09-20 |
| 1720488968 | Kristi Richards | Physical Therapy Assistant | 316 Lakeover Pl, Terry, MS 39170-4407 | 2014-08-25 |
| 1467797001 | Whitney William Healthcare, LLC | Internal Medicine | 1290 Caroline Dr, Terry, MS 39170-5000 | 2012-12-08 |
| Find all providers in zip 39170 | ||||
| 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 |
|---|---|---|---|---|
| 1659789360 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 2009 Byram Bulldog Blvd, Terry, MS 39170-8632 | 2014-07-25 |
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| 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.