institution
Southeast Mississippi Rural Health Initiative, Inc
Federally Qualified Health Center (FQHC) in Petal, Mississippi
NPI 1720327919

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 Petal, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc is 1720327919 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc is 203 Highway 42, Petal, MS and can be reached out via phone at 601-584-6301 and via fax at 601-450-2493.

Location: 203 Highway 42, Petal, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1720327919
Provider Name
Southeast Mississippi Rural Health Initiative, Inc
Credential
Provider Entity Type
Organization
Address
203 Highway 42, Petal, MS, 39403-1729
Phone Number
601-584-6301
Fax Number
601-450-2493
Provider Enumeration Date
02/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07528765 05 MS
251012 01 MS MS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
203 Highway 42
City
State
Zip
39465-2864
Phone Number
601-584-6301
Fax Number
601-450-2493
person
Provider Business Mailing Address Details
Address
203 Highway 42
City
State
Zip
39465-2864
Phone Number
601-584-6301
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.
(Mississippi)
Definition
Definition to come...
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