institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Petal, Mississippi
NPI 1225073968

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 Petal, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc. is 1225073968 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 9214 Highway 42, Petal, MS and can be reached out via phone at 601-545-8700 and via fax at 601-582-5461.

Location: 9214 Highway 42, Petal, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1225073968
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
9214 Highway 42, Petal, MS, 39403-1729
Phone Number
601-545-8700
Fax Number
601-582-5461
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04972800 05 MS
institution
Provider Business Practice Location Address Details
Address
9214 Highway 42
City
State
Zip
39465-8604
Phone Number
601-545-8700
Fax Number
601-582-5461
person
Provider Business Mailing Address Details
Address
9214 Highway 42
City
State
Zip
39465-8604
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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