institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Hattiesburg, Mississippi
NPI 1760451777

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 1760451777 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 605 Stadium Dr, Hattiesburg, MS and can be reached out via phone at 601-450-0310 and via fax at 601-450-0321. 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: 601-450-0310).

Location: 605 Stadium Dr, Hattiesburg, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1760451777
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
605 Stadium Dr, Hattiesburg, MS, 39403-1729
Phone Number
601-450-0310
Fax Number
601-450-0321
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
05080829 05 MS
C02142 01 MS CAHABA MEDICARE GR #
institution
Provider Business Practice Location Address Details
Address
605 Stadium Dr
City
State
Zip
39401-4156
Phone Number
601-450-0310
Fax Number
601-450-0321
person
Provider Business Mailing Address Details
Address
605 Stadium Dr
City
State
Zip
39401-4156
Phone Number
601-450-0310
Fax Number
601-450-0321
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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