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CH04075D CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. (Active)
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Main Details
Name
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Subdivision Name
JACKSON-HINDS TOUGALOO CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006785
340B ID
CH04075D
Grant Number
H80CS00084
Additional Details
Current Program Status
Active
Registration Date
12/1/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/2/2010
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Central Mississippi Civic Improvement Association, Inc.
Jasmin Chapman, Chief Executive Officer
(601) 364-5142
Primary Contact
Central Mississippi Civic Improvement Association, Inc.
Techandra J Mayes, Chief Financial Officer
(601) 364-5182
Addresses
Street Address
500 W County Line Rd
Tougaloo, MS 39174-9700
Billing Address
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT
PO BOX 3437
JACKSON, MS 39207
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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