Central Mississippi Health Services, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CENTRAL MISSISSIPPI HEALTH SERVICES, INC.

Practice address

1134 Winter St
Jackson, MS 39204-2841

Phone

(601) 948-5572

Fax

(601) 914-3012

NPI assigned

Aug 26, 2016

Last updated

Apr 28, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terry Johnson

Title

Human Resource Manager

Phone

(601) 948-5572

Specialties & licenses 2

Addresses

Tax ID family

Denzil G Robertson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1386301059
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1073069498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 WINTER ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042841",
            "telephone_number": "601-948-5572",
            "fax_number": "601-914-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 WINTER ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042841",
            "telephone_number": "601-948-5572",
            "fax_number": "601-914-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MISSISSIPPI HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "HUMAN RESOURCE MANAGER",
        "authorized_official_telephone_number": "601-948-5572"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Mississippi Civic Improvement Association, Inc. (Jackson-Hinds Comprehensive Health Center School-Based Health Center P)
• Central Mississippi Civic Improvement Association, Inc. (Jackson Hinds Comprehensive Health Center)
• Central Mississippi Health Services, Inc
• Central Mississippi Health Services, Inc
• Central Mississippi Health Services, Inc
• Central Mississippi Health Services, Inc.
• Central Mississippi Improvement Association (Jackson Hinds Comprehensive Health Center)
• Central Mississippi Medical Center
• Central Mississippi Medical Equipment, LLC
• Central Mississippi Oral & Maxiollofacial

• Federally Qualified Health Center (FQHC) in Jackson, MS
• Providers in Jackson, MS by specialty
• Federally Qualified Health Center (FQHC) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.