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CH04608C CENTRAL MISSISSIPPI HEALTH SERVICES, INC. (Active)
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Main Details
Name
CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Subdivision Name
CENTRAL MISSISSIPPI HEALTH SERVICES, INC - HIGHWAY 80
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028009
340B ID
CH04608C
Grant Number
H80CS00860
Additional Details
Current Program Status
Active
Registration Date
10/14/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/17/2022
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
3450 Highway 80 West , Ste, 70, 71 &72 BLDG
Jackson, MS 39209-7201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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