Southeast Mississippi Rural Health Initiative, Inc. in Hattiesburg - Federally Qualified Health Center (fqhc)
Southeast Mississippi Rural Health Initiative, Inc. - NPI 1003852203
Southeast Mississippi Rural Health Initiative, Inc. is a Federally Qualified Health Center (fqhc) in Hattiesburg, Mississippi. Southeast Mississippi Rural Health Initiative, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Southeast Mississippi Rural Health Initiative, Inc. is 1003852203. The last update date is 2022-09-06.
Southeast Mississippi Rural Health Initiative, Inc.'s current location address is Po Box 1729, Hattiesburg, Mississippi. You can contact this provider via phone number 6015458700 and fax number 6015825461. The mailing address for Southeast Mississippi Rural Health Initiative, Inc. is Po Box 1729, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Mississippi Rural Health Initiative, Inc. |
|---|---|
| Address | Po Box 1729, Hattiesburg, Mississippi |
| Phone Number | 6015458700 |
| Fax Number | 6015825461 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Ray Kaye |
| Telephone Number | 6015458700 |
NPI Number Detail
| NPI Number | 1003852203 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2022-09-06 |
Provider Mailing Address Detail
| Address | Po Box 1729 |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394031729 |
| Phone Number | 6015458700 |
| Fax Number | 6015825461 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1873344 | MS | -- |
Post Comment/ Review Below
What is the Southeast Mississippi Rural Health Initiative, Inc.'s 1003852203?
The Southeast Mississippi Rural Health Initiative, Inc.'s NPI (National Provider Identifier) Number is 1003852203. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Southeast Mississippi Rural Health Initiative, Inc. is geographically located?
The Southeast Mississippi Rural Health Initiative, Inc. is physically situated at the following location: Po Box 1729, Hattiesburg, MS, 394031729.
What is Southeast Mississippi Rural Health Initiative, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southeast Mississippi Rural Health Initiative, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003852203 to Southeast Mississippi Rural Health Initiative, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1003852203 to Southeast Mississippi Rural Health Initiative, Inc. on 2006-06-22.
As of what date were the details pertaining to Southeast Mississippi Rural Health Initiative, Inc. last refreshed?
The information related to the Southeast Mississippi Rural Health Initiative, Inc., including its address, specialty, and other relevant details, was last updated on 2022-09-06.