Homeless Clinic
LBN: Central Mississippi Civic Improvement Association, Inc
Homeless Clinic is an health care organization with primary practice located at 327 S Gallatin St , Jackson MS 39203-3514. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), 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 R via phone (601) 362-5321.
Contact Information
Primary practice address
327 S Gallatin St
Jackson MS 39203-3514
Phone: (601) 362-5321
Fax: (601) 364-2600
Website:
Authorized official contact:
Name: Chapman, Jasmin R Doctor of Dental Surgery (DDS)
Phone: (601) 362-5321
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1205021946 |
|---|---|
| LBN Legal business name | Central Mississippi Civic Improvement Association, Inc |
| DBA Doing business as | Homeless Clinic |
| Authorized official | Chapman, Jasmin R Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2007 |
| Last updated | Oct 29th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205021946 | NPPES |
| Mississippi | MEDICAID | 09014683 |
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