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CH04075E CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC. (Active)
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Main Details
Name
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Subdivision Name
JACKSON-HINDS ETHEL JAMES IVORY HOMELESS CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004302
340B ID
CH04075E
Grant Number
H80CS00084
Additional Details
Current Program Status
Active
Registration Date
4/20/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/11/2015
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
327 S. Gallatin Street
Jackson, MS 39203-3518
Billing Address
Central Mississippi Civic Improvement Association, Inc.
PO Box 3437
Jackson, MS 39207
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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