CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. – NPI #1215744396
Clinic/Center

CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. is an AHC clinic located in JACKSON, MS. NPPES has assigned the NPI number 1215744396 to CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. on December 12, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

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 CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. below.

NPI Profile for
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.

NPI Number
1215744396
Enumeration Date

(more than a year 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, INC.
Primary location
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone: (601) 362-5321 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LINDA SWILLEY
CONSULTANT
Phone: (601) 479-5972
Updated
Certification Date
Dec 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (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.