OrganizationActive
Central Mississippi Civic Improvement Association, Inc
NPI 1134592777 · Federally Qualified Health Center (FQHC) · Jackson, MS
Provider details
- NPI number
- 1134592777
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jasmin Chapman, Chief Executive Officer(601) 364-5142
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
415 Claiborne Ave
Jackson, MS 39209-5321
Phone: (601) 364-5142
Approximate (ZIP-level) locationGet directions
Mailing address
3502 W Northside Dr
Jackson, MS 39213-4454
Other names (DBA / former)
- Doing business as
- Pecan Park Elementary School-Based
Registry dates
- Enumerated
- 2015-11-04
- Last updated
- 2015-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.