Southeast Mississippi Rural Health Initiative, Inc. in Hattiesburg - Federally Qualified Health Center (fqhc)
Southeast Mississippi Rural Health Initiative, Inc. - NPI 1023087400
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 1023087400. The last update date is 2022-09-06.
Southeast Mississippi Rural Health Initiative, Inc.'s current location address is Po Box 511, Hattiesburg, Mississippi. You can contact this provider via phone number 6014506500 and fax number 6014506503. The mailing address for Southeast Mississippi Rural Health Initiative, Inc. is Po Box 511, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Southeast Mississippi Rural Health Initiative, Inc. |
---|---|
Address | Po Box 511, Hattiesburg, Mississippi |
Phone Number | 6014506500 |
Fax Number | 6014506503 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
---|---|
Authorized Official Name | Ray Kaye |
Telephone Number | 6015458700 |
NPI Number Detail
NPI Number | 1023087400 |
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Provider Enumeration Date | 2006-03-16 |
Last Updated Date | 2022-09-06 |
Provider Mailing Address Detail
Address | Po Box 511 |
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City | Hattiesburg |
State | Mississippi (MS) |
Post Code | 394030511 |
Phone Number | 6014506500 |
Fax Number | 6014506503 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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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 |
---|---|---|---|
1813507 | MS | MS UNITED HEALTH CARE | |
2600025 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southeast Mississippi Rural Health Initiative, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Southeast Mississippi Rural Health Initiative, Inc. has been assigned the NPI (National Provider Identifier) 1023087400. This 10-digit code serves as a unique identification number for healthcare providers, issued by the 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 511, Hattiesburg, MS, 394030511.
What is Southeast Mississippi Rural Health Initiative, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Southeast Mississippi Rural Health Initiative, Inc.'s area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023087400 to Southeast Mississippi Rural Health Initiative, Inc.?
The Southeast Mississippi Rural Health Initiative, Inc. received its 1023087400 assignment from the Centers for Medicare & Medicaid Services on 2006-03-16.
When was the information regarding Southeast Mississippi Rural Health Initiative, Inc. most recently updated?
The details pertaining to the Southeast Mississippi Rural Health Initiative, Inc., including its address, specialty, and other relevant information, were last refreshed on 2022-09-06.