| NPI | 1104943604 |
|---|---|
| Former Legal Business Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. |
| Entity Type | Organization |
| Authorized Contact | TYRONE THIGPEN Data Project Manager 601-362-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MS R851704) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-07-27 |