institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Sumrall, Mississippi
NPI 1184694036

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 Sumrall, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc. is 1184694036 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 1016 Highway 42, Sumrall, MS and can be reached out via phone at 601-758-4214 and via fax at 601-758-0614. 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: 601-545-3700).

Location: 1016 Highway 42, Sumrall, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1184694036
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
1016 Highway 42, Sumrall, MS, 39403-1729
Phone Number
601-758-4214
Fax Number
601-758-0614
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09013879 05 MS
institution
Provider Business Practice Location Address Details
Address
1016 Highway 42
City
State
Zip
39482-9634
Phone Number
601-758-4214
Fax Number
601-758-0614
person
Provider Business Mailing Address Details
Address
1016 Highway 42
City
State
Zip
39482-9634
Phone Number
601-758-4214
Fax Number
601-758-0614
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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