Central Mississippi Civic Improvement Association, Inc.
LBN: Langford Family Health, Inc
Central Mississippi Civic Improvement Association, Inc. 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 / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Langford Family Health, Inc can be contacted via phone (601) 362-5321, or through Thigpen, Tyrone via phone (601) 362-5321.
Contact Information
Primary practice address
3502 W Northside Dr
Jackson MS 39213-4454
Phone: (601) 362-5321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | R851704 | Mississippi |
Profile Details
| NPI number | 1104943604 |
|---|---|
| LBN Legal business name | Langford Family Health, Inc |
| DBA Doing business as | Central Mississippi Civic Improvement Association, Inc. |
| Authorized official | Thigpen, Tyrone |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 27th, 2021 - about 3 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 | 1104943604 | NPPES |
| Mississippi | MEDICAID | 01477236 |
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