| Central Mississippi Civic Improvement Association, Inc. | |
|
560 Port Gibson St Raymond MS 39154-9746 | |
| (601) 362-5321 | |
| (601) 364-5159 |
| Full Name | Central Mississippi Civic Improvement Association, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 560 Port Gibson St, Raymond, Mississippi |
| Authorized Official Name and Position | Jasmin Chapman (CEO) |
| Authorized Official Contact | 6013645142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Mississippi Civic Improvement Association, Inc. 3502 W Northside Dr Jackson MS 39213-4454 Ph: (601) 364-5142 | Central Mississippi Civic Improvement Association, Inc. 560 Port Gibson St Raymond MS 39154-9746 Ph: (601) 362-5321 |
| NPI Number | 1316415292 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 11/08/2018 |
| Medicare PECOS PAC ID | 4183533235 |
|---|---|
| Medicare Enrollment ID | O20190130002593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316415292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Central Mississippi Civic Improvement Association, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 417 Palestine St, Raymond, MS 39154 Phone: 601-362-5321 | |
Central Mississippi Civic Improvement Association, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14050 Highway 18, Raymond, MS 39154 Phone: 601-362-5321 Fax: 601-364-5159 | |
Family First Heatlhcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 South Oak Street, Ste 2, Raymond, MS 39154 Phone: 601-709-2300 Fax: 601-709-2305 | |
Choice Wound Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 S Oak Ste 2a, Raymond, MS 39154 Phone: 769-206-1458 | |
First Choice Family Healthcare Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 S Oak Ste 2, Raymond, MS 39154 Phone: 601-526-9001 Fax: 601-526-9118 | |
Minor Med Care, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 W Main St, Raymond, MS 39154 Phone: 601-372-1117 Fax: 601-373-3004 |