Central Mississippi Civic Improvement Association, Inc
Organization Active NPI Student Health Clinic/Center · Bolton, MS
NPI 1760414494 · NPPES record last updated Jan 20, 2021
Key facts
- NPI
- 1760414494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC
- Practice address
- 9700 I 20 Frontage Rd
Bolton, MS 39041-9126 - Phone
- (601) 866-2522
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jasmin Chapman, DDS
- Title
- Ceo
- Phone
- (601) 362-5321
Corporate family (same tax ID) 37
National Provider Directory
- Tax ID family
- Central Mississippi Improvement Association
Locations
9700 I 20 Frontage Rd
Bolton, MS 39041
Phone (601) 866-2522
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Yes |
Addresses
Primary practice location
9700 I 20 Frontage Rd
Bolton, MS 39041-9126
Mailing address
3502 W. Northside Drive
Jackson, MS 39213-4454
Phone (601) 362-5321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04224781 | Medicaid | MS |
Other names
- JACKSON HINDS COMPREHENSIVE HEALTH CENTER
Other providers in Bolton, MS
- Kenyuana M. Beachem
- Bolton Edwards Elementary Middle School
- Robin L Bolton
- Coleman A. Boyd
- Caring Hands Touch of Care
- Dr Robert Woodruff DPM PA
- Janet Gray
- Health Wellness Promotion LLC
- Lisa Byrd Healthcare Inc
- Lisa Byrd Healthcare Inc
All providers in Bolton, MS · Student Health Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.