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CH04608A CENTRAL MISSISSIPPI HEALTH SERVICES, INC. (Active)
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Main Details
Name
CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Subdivision Name
CENTRAL MS HLTH SVS - TOUGALOO
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001489
340B ID
CH04608A
Grant Number
H80CS00860
Additional Details
Current Program Status
Active
Registration Date
12/1/2005
Participating Start Date
12/1/2005
Participating Approval Date
12/1/2005
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Central Mississippi Health Services, Inc.
Robert Smith, MD
(601) 948-5572
Primary Contact
Central Mississippi Health Services
Shynettia Wesley, Revenue Cycle Manager
(601) 948-5572 Ext: 1653
Addresses
Street Address
500 W COUNTY LINE RD
JACKSON, MS 39174-9700
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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