Jackson-Hinds Comprehensive Health Center - Physical Therapy

LBN: Central Mississippi Civic Improvement Association, Inc.
Jackson-Hinds Comprehensive Health Center - Physical Therapy is an health care organization with primary practice located at 3502 W Northside Dr , Jackson MS 39213-4454. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Central Mississippi Civic Improvement Association, Inc. can be contacted via phone (601) 362-5321, or through Chapman, Jasmin via phone (601) 364-5142.

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)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1033649058
LBN Legal business name Central Mississippi Civic Improvement Association, Inc.
DBA Doing business as Jackson-Hinds Comprehensive Health Center - Physical Therapy
Authorized official Chapman, Jasmin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2017
Last updated Dec 22nd, 2017 - about 8 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 1033649058 NPPES
Mississippi MEDICAID PENDING

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