institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Hattiesburg, Mississippi
NPI 1508874769

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 1508874769 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 123 S 27Th Ave, Hattiesburg, MS and can be reached out via phone at 601-450-3030 and via fax at 601-450-3031.

Location: 123 S 27Th Ave, Hattiesburg, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1508874769
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
123 S 27Th Ave, Hattiesburg, MS, 39403-1729
Phone Number
601-450-3030
Fax Number
601-450-3031
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04786024 05 MS
institution
Provider Business Practice Location Address Details
Address
123 S 27Th Ave
City
State
Zip
39401-7136
Phone Number
601-450-3030
Fax Number
601-450-3031
person
Provider Business Mailing Address Details
Address
123 S 27Th Ave
City
State
Zip
39401-7136
Phone Number
601-450-3030
Fax Number
601-450-3031
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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