institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Beaumont, Mississippi
NPI 1831166826

Southeast Mississippi Rural Health Initiative, Inc. is a Federally Qualified Health Center (FQHC) based in Beaumont, MS and is specialized in Federally Qualified Health Center (FQHC). Southeast Mississippi Rural Health Initiative, Inc. practices in Beaumont, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc. is 1831166826 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 1411 Bradley Ave, Beaumont, MS and can be reached out via phone at 601-784-3922 and via fax at 601-784-3755.

Location: 1411 Bradley Ave, Beaumont, MS, 39423-0235
institution
Provider Profile Details
NPI Number
1831166826
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
1411 Bradley Ave, Beaumont, MS, 39423-0235
Phone Number
601-784-3922
Fax Number
601-784-3755
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
09015881 05 MS
2382405 01 MS MS UNITED HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
1411 Bradley Ave
City
State
Zip
39423-0000
Phone Number
601-784-3922
Fax Number
601-784-3755
person
Provider Business Mailing Address Details
Address
1411 Bradley Ave
City
State
Zip
39423-0000
Phone Number
601-784-3922
Fax Number
601-784-3755
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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