Central Mississippi Civic Improvement Association, Inc.

Key facts

NPI

1770511370

Entity type

Organization (NPI type 2)

Primary specialty

Clinic/Center 261Q00000X

Legal business name

CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.

Practice address

146 E Ash St
Jackson, MS 39202-2217

Phone

(601) 960-5326

NPI assigned

Jun 30, 2006

Organization subpart

No

Authorized official

Name

Dr. Jasmin Chapman, DDS

Title

Cep

Phone

(601) 362-5321

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• JACKSON HINDS COMPREHENSIVE HEALTH CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2009.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1770511370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 W NORTHSIDE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134454",
            "telephone_number": "601-362-5321",
            "fax_number": "601-364-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E ASH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022217",
            "telephone_number": "601-960-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "CEP",
        "authorized_official_telephone_number": "601-362-5321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08386021",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACKSON HINDS COMPREHENSIVE HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

• Central Mississippi Civic Improvement Association, Inc.
• Central Mississippi Civic Improvement Association, Inc.
• Central Mississippi Civic Improvement Association, Inc.
• Central Mississippi Civic Improvement Association, Inc.
• Central Mississippi Civic Improvement Association, Inc.
• Central Mississippi Civic Improvement Association, Inc.
• Central Mississippi Civic Improvement Association, Inc.
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• Central Mississippi Health Services, Inc
• Central Mississippi Health Services, Inc

All providers in Jackson, MS · Clinic/Center in Mississippi