Southeast Mississippi Rural Health Initiative, Inc. in Hattiesburg - Federally Qualified Health Center (fqhc)
Southeast Mississippi Rural Health Initiative, Inc. - NPI 1265461719
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 1265461719. The last update date is 2011-03-21.
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 | Dyse Geroldean |
| Telephone Number | 6015458700 |
NPI Number Detail
| NPI Number | 1265461719 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2011-03-21 |
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 |
|---|---|---|---|
| 9015880 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southeast Mississippi Rural Health Initiative, Inc. by the Centers for Medicare & Medicaid Services?
The Southeast Mississippi Rural Health Initiative, Inc. has been issued the NPI (National Provider Identifier) 1265461719. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Southeast Mississippi Rural Health Initiative, Inc.?
The Southeast Mississippi Rural Health Initiative, Inc. is situated at Po Box 1729, in the city of Hattiesburg, state of MS, with the zip code 394031729.
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.
When did the Southeast Mississippi Rural Health Initiative, Inc. receive its 1265461719?
The Southeast Mississippi Rural Health Initiative, Inc. was issued its 1265461719 on 2006-06-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Southeast Mississippi Rural Health Initiative, Inc. most recently updated or revised?
The information pertaining to Southeast Mississippi Rural Health Initiative, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2011-03-21.