COPIAH COMPREHENSIVE HEALTH CENTER – NPI #1770515058
Clinic/Center

COPIAH COMPREHENSIVE HEALTH CENTER is an AHC clinic located in HAZLEHURST, MS. NPPES has assigned the NPI number 1770515058 to COPIAH COMPREHENSIVE HEALTH CENTER on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COPIAH COMPREHENSIVE HEALTH CENTER” is a dba name, the actual legal business name for this organization is CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 17 years ago on May 12, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COPIAH COMPREHENSIVE HEALTH CENTER below.

NPI Profile for
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION

NPI Number
1770515058
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION
Doing Business As (dba): COPIAH COMPREHENSIVE HEALTH CENTER
Primary location
550 CALDWELL DRIVE
HAZLEHURST, MS 39083
Phone: (601) 894-1448 Fax: (601) 894-2903
Mailing address
3502 W. NORTHSIDE DRIVE
JACKSON, MS 39213
Phone: (601) 362-5321 Fax: (601) 364-5159
Organization Subpart
No
Authorized Official
JASMIN CHAPMAN
CEO
Phone: (601) 362-5321
Updated
Identifiers

Identifiers for COPIAH COMPREHENSIVE HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS09016170
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.