institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Hattiesburg, Mississippi
NPI 1023087400

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 Hattiesburg, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc. is 1023087400 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 404 Lillie Burney St, Hattiesburg, MS and can be reached out via phone at 601-450-6500 and via fax at 601-450-6503.

Location: 404 Lillie Burney St, Hattiesburg, MS, 39403-0511
institution
Provider Profile Details
NPI Number
1023087400
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
404 Lillie Burney St, Hattiesburg, MS, 39403-0511
Phone Number
601-450-6500
Fax Number
601-450-6503
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1813507 01 MS MS UNITED HEALTH CARE
02600025 05 MS
institution
Provider Business Practice Location Address Details
Address
404 Lillie Burney St
City
State
Zip
39401-5505
Phone Number
601-450-6500
Fax Number
601-450-6503
person
Provider Business Mailing Address Details
Address
404 Lillie Burney St
City
State
Zip
39401-5505
Phone Number
601-450-6500
Fax Number
601-450-6503
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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