institution
Southeast Mississippi Rural Health Initiative, Inc
Federally Qualified Health Center (FQHC) in New Augusta, Mississippi
NPI 1881661874

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 New Augusta, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc is 1881661874 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc is 404 Main Street, New Augusta, MS and can be reached out via phone at 601-964-8391 and via fax at 601-964-8398.

Location: 404 Main Street, New Augusta, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1881661874
Provider Name
Southeast Mississippi Rural Health Initiative, Inc
Credential
Provider Entity Type
Organization
Address
404 Main Street, New Augusta, MS, 39403-1729
Phone Number
601-964-8391
Fax Number
601-964-8398
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09013878 05 MS
institution
Provider Business Practice Location Address Details
Address
404 Main Street
City
State
Zip
39462-0000
Phone Number
601-964-8391
Fax Number
601-964-8398
person
Provider Business Mailing Address Details
Address
404 Main Street
City
State
Zip
39462-0000
Phone Number
601-964-8391
Fax Number
601-964-8398
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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