| Southeast Mississippi Rural Health Initiative, Inc. | |
|
5488 U S Highway 49 Hattiesburg MS 39401-7806 | |
| (601) 545-8700 | |
| (601) 582-5461 |
| Full Name | Southeast Mississippi Rural Health Initiative, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5488 U S Highway 49, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Kaye Ray (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6015458700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Mississippi Rural Health Initiative, Inc. Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700 | Southeast Mississippi Rural Health Initiative, Inc. 5488 U S Highway 49 Hattiesburg MS 39401-7806 Ph: (601) 545-8700 |
| NPI Number | 1043492770 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043492770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
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