| Central Mississippi Civic Improvement Association, Inc. | |
| 235 W Beasley St Terry MS 39170-8154 | |
| (601) 362-5321 | |
| (601) 364-5159 | 
| Full Name | Central Mississippi Civic Improvement Association, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 235 W Beasley St, Terry, Mississippi | 
| Authorized Official Name and Position | Jasmin Chapman (CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 6013625321 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Central Mississippi Civic Improvement Association, Inc. 3502 W Northside Dr Jackson MS 39213-4454 Ph: (601) 362-5321 | Central Mississippi Civic Improvement Association, Inc. 235 W Beasley St Terry MS 39170-8154 Ph: (601) 362-5321 | 
| NPI Number | 1750799383 | 
|---|---|
| Provider Enumeration Date | 07/28/2014 | 
| Last Update Date | 07/28/2014 | 
| Medicare PECOS PAC ID | 4183533235 | 
|---|---|
| Medicare Enrollment ID | O20140919001639 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750799383 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
| Quinn Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 W Cunningham Ave, Terry, MS 39170 Phone: 769-666-9021 | |
| Whitney William Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1290 Caroline Dr, Terry, MS 39170 Phone: 601-944-1717 Fax: 601-944-9780 | |
| Central Mississippi Civic Improvement Association, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2009 Byram Bulldog Blvd, Terry, MS 39170 Phone: 601-362-5321 Fax: 601-364-5159 |