{"npi":"1154424554","type":"NPI-2","status":"active","name":{"display":"Central Mississippi Civic Improvement Association, Inc.","other":[],"organization_name":"CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.","authorised_official":"Jasmin Chapman"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":"MS","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3502 W NORTHSIDE DR","city":"JACKSON","state":"MS","postal_code":"392134454","country_code":"US","phone":"6013625321","fax":"6013642600"},{"purpose":"MAILING","street_1":"3502 W NORTHSIDE DR","city":"JACKSON","state":"MS","postal_code":"392134454","country_code":"US","phone":"6013625321","fax":"6013642600"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"00376796","state":"MS","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-07","last_updated":"2018-10-25","_meta":{"source":"NPPES","snapshot_date":"2018-10-25","doc_url":"https://findmynpi.com/api"}}