Southeast Mississippi Rural Health Initiative, Inc. in Hattiesburg - Federally Qualified Health Center (fqhc)
Southeast Mississippi Rural Health Initiative, Inc. - NPI 1639115207
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 1639115207. 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 | 1639115207 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| 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 |
|---|---|---|---|
| 9937036 | 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) 1639115207. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Southeast Mississippi Rural Health Initiative, Inc. is located?
The Southeast Mississippi Rural Health Initiative, Inc. is situated at the following address: 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 Southeast Mississippi Rural Health Initiative, Inc. receive its 1639115207 assignment from the Centers for Medicare & Medicaid Services?
The Southeast Mississippi Rural Health Initiative, Inc. was assigned its 1639115207 by the Centers for Medicare & Medicaid Services on 2006-06-21.
As of what date was the information pertaining to Southeast Mississippi Rural Health Initiative, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southeast Mississippi Rural Health Initiative, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-09-06.