institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Mount Olive, Mississippi
NPI 1457800146

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 Mount Olive, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc. is 1457800146 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 301 South 4Th Street, Mount Olive, MS and can be reached out via phone at 601-545-8700 and via fax at 601-450-2493.

Location: 301 South 4Th Street, Mount Olive, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1457800146
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
301 South 4Th Street, Mount Olive, MS, 39403-1729
Phone Number
601-545-8700
Fax Number
601-450-2493
Provider Enumeration Date
09/23/2016
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
03687771 05 MS
251051 01 MS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
301 South 4Th Street
City
State
Zip
39119-0000
Phone Number
601-545-8700
Fax Number
601-450-2493
person
Provider Business Mailing Address Details
Address
301 South 4Th Street
City
State
Zip
39119-0000
Phone Number
601-545-8700
Fax Number
601-450-2493
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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