institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Brooklyn, Mississippi
NPI 1659348076

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 Brooklyn, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc. is 1659348076 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 44 Brooklyn Janice Rd, Brooklyn, MS and can be reached out via phone at 601-582-1188 and via fax at 601-582-8844.

Location: 44 Brooklyn Janice Rd, Brooklyn, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1659348076
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
44 Brooklyn Janice Rd, Brooklyn, MS, 39403-1729
Phone Number
601-582-1188
Fax Number
601-582-8844
Provider Enumeration Date
03/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C02142 01 MS CAHABA MEDICARE GR NUMBER
1821127 01 MS MS UNITED HEALTH CARE
09014664 05 MS
institution
Provider Business Practice Location Address Details
Address
44 Brooklyn Janice Rd
City
State
Zip
39425-9731
Phone Number
601-582-1188
Fax Number
601-582-8844
person
Provider Business Mailing Address Details
Address
44 Brooklyn Janice Rd
City
State
Zip
39425-9731
Phone Number
601-582-1188
Fax Number
601-582-8844
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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