institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Hattiesburg, Mississippi
NPI 1518907054

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 1518907054 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 180 W.s.f. Tatum Drive, Hattiesburg, MS and can be reached out via phone at 601-450-0805 and via fax at 601-450-0806. 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: 601-545-8700).

Location: 180 W.s.f. Tatum Drive, Hattiesburg, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1518907054
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
180 W.s.f. Tatum Drive, Hattiesburg, MS, 39403-1729
Phone Number
601-450-0805
Fax Number
601-450-0806
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07035596 05 MS
institution
Provider Business Practice Location Address Details
Address
180 W.s.f. Tatum Drive
City
State
Zip
39401
Phone Number
601-450-0805
Fax Number
601-450-0806
person
Provider Business Mailing Address Details
Address
180 W.s.f. Tatum Drive
City
State
Zip
39401
Phone Number
601-450-0805
Fax Number
601-450-0806
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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