OrganizationActive
Central Mississippi Health Services, Inc
NPI 1730120502 · Federally Qualified Health Center (FQHC) · Jackson, MS
Provider details
- NPI number
- 1730120502
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terry Johnson, Human Resource Manager(601) 948-5572
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
1134 Winter St
Jackson, MS 39204-2841
Phone: (601) 948-5572
Fax: (601) 353-7070
Approximate (ZIP-level) locationGet directions
Mailing address
1134 Winter St
Jackson, MS 39204-2841
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2022-04-28
- Certified
- 2022-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.