340B Drug Pricing Program Database

Name

CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.

Subdivision Name

The Village Apartment Complex

Type

HRSA-Funded Health Center

Site ID

BPS-H80-015744

340B ID

CH04075M

Grant Number

H80CS00084

Current Program Status

Terminated

Registration Date

4/15/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/19/2016

Last Recertification Date

2/1/2023

Termination Date
Termination Reason

4/1/2024
Site closure

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

Street Address

386 RAYMOND RD
JACKSON, MS 39204-3700

Billing Address

Central Mississippi Civic Improvement Association, Inc.
PO Box 3437
Jackson, MS 39207