340B Drug Pricing Program Database

Name

CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.

Subdivision Name

Byram Middle School-based Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-014170

340B ID

CH04075T

Grant Number

H80CS00084

Current Program Status

Active

Registration Date

4/15/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/19/2016

Last Recertification Date

2/12/2025

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

2009 BYRAM BULLDOG BLVD
TERRY, MS 39170-8632

Billing Address

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