NPI 1003470758
Central Mississippi Health Services, INC
Practice location
- Address
- 3450 Highway 80 W STE 71, Jackson, MS 39209-7201
- Phone
- (601) 321-2400
- Mailing address
- 1134 Winter St, Jackson, MS 39204-2841
Authorised official
- Name
- Terry Johnson
- Title
- Human Resource Manager
- Phone
- (601) 948-5572
Registered specialties
Federally Qualified Health Center (FQHC)
Primary
Registry record
- NPI
- 1003470758
- Entity type
- Organization
- NPI issued
- 29 Apr 2019
- Record last updated
- 28 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.