institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Picayune, Mississippi
NPI 1003013764

Southeast Mississippi Rural Health Initiative, Inc. is a Federally Qualified Health Center (FQHC) based in Hattiesburg, MS and is specialized in Federally Qualified Health Center (FQHC). Southeast Mississippi Rural Health Initiative, Inc. practices in Picayune, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc. is 1003013764 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 1911 Read Rd, Picayune, MS and can be reached out via phone at 601-545-8700 and via fax at 601-582-5461. You can also correspond with Southeast Mississippi Rural Health Initiative, Inc. through the mailing address at PO BOX 1729, HATTIESBURG, MS - 39403-1729 (mailing address contact number: 601-545-8700).

Location: 1911 Read Rd, Picayune, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1003013764
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
1911 Read Rd, Picayune, MS, 39403-1729
Phone Number
601-545-8700
Fax Number
601-582-5461
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
C02142 01 MS CAHABA MEDICARE GR NUMBER
07250059 05 MS
institution
Provider Business Practice Location Address Details
Address
1911 Read Rd
City
State
Zip
39466-2730
Phone Number
601-545-8700
Fax Number
601-582-5461
person
Provider Business Mailing Address Details
Address
Po Box 1729
City
State
Zip
39403-1729
Phone Number
601-545-8700
Fax Number
601-582-5461
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Mississippi)
Definition
Definition to come...
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