institution
Southeast Mississippi Rural Health Initiative, Inc.
Federally Qualified Health Center (FQHC) in Petal, Mississippi
NPI 1932446051

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 1932446051 and holds a License No. (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 1179 Highway 42, Petal, MS and can be reached out via phone at 601-545-8700 and via fax at 601-450-2493.

Location: 1179 Highway 42, Petal, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1932446051
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
1179 Highway 42, Petal, MS, 39403-1729
Phone Number
601-545-8700
Fax Number
601-450-2493
Provider Enumeration Date
01/09/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
251013 01 MS MS MEDICARE PTAN
05782753 05 MS
institution
Provider Business Practice Location Address Details
Address
1179 Highway 42
City
State
Zip
39465-9740
Phone Number
601-545-8700
Fax Number
601-450-2493
person
Provider Business Mailing Address Details
Address
1179 Highway 42
City
State
Zip
39465-9740
Phone Number
601-545-8700
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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