institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Collins, Mississippi
NPI 1497202527

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 Collins, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc. is 1497202527 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 401 Dogwood Street, Collins, MS and can be reached out via phone at 601-765-4383 and via fax at 601-450-2493.

Location: 401 Dogwood Street, Collins, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1497202527
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
401 Dogwood Street, Collins, MS, 39403-1729
Phone Number
601-765-4383
Fax Number
601-450-2493
Provider Enumeration Date
09/07/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
251048 01 MS MEDICARE PTAN
09405885 05 MS
institution
Provider Business Practice Location Address Details
Address
401 Dogwood Street
City
State
Zip
39428-0000
Phone Number
601-765-4383
Fax Number
601-450-2493
person
Provider Business Mailing Address Details
Address
401 Dogwood Street
City
State
Zip
39428-0000
Phone Number
601-765-4383
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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