Jackson Hinds Comprehensive Health Center

LBN: Central Mississippi Civic Improvement Association
Jackson Hinds Comprehensive Health Center is an health care organization with primary practice located at 3502 W Northside Dr , Jackson MS 39213-4454. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Dental is the primary health care specialty. Central Mississippi Civic Improvement Association can be contacted via phone (601) 362-5321, or through Chapman, Jasmin via phone (601) 362-5321.

Contact Information

Primary practice address
3502 W Northside Dr Jackson MS 39213-4454
Fax:
Website:
Authorized official contact:
Name: Chapman, Jasmin Doctor of Dental Surgery (DDS)

Profile Details

NPI number 1790717080
LBN Legal business name Central Mississippi Civic Improvement Association
DBA Doing business as Jackson Hinds Comprehensive Health Center
Authorized official Chapman, Jasmin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2006
Last updated Apr 25th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790717080 NPPES
Mississippi MEDICAID 09013452

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