Southeast Mississippi Rural Health Initiative, Inc. in Brooklyn - Federally Qualified Health Center (fqhc)
Southeast Mississippi Rural Health Initiative, Inc. - NPI 1659348076
Southeast Mississippi Rural Health Initiative, Inc. is a Federally Qualified Health Center (fqhc) in Brooklyn, 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 1659348076. The last update date is 2021-04-16.
Southeast Mississippi Rural Health Initiative, Inc.'s current location address is 44 Brooklyn Janice Rd, Brooklyn, Mississippi. You can contact this provider via phone number 6015821188 and fax number 6015828844. The mailing address for Southeast Mississippi Rural Health Initiative, Inc. is 44 Brooklyn Janice Rd, Brooklyn, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Mississippi Rural Health Initiative, Inc. |
|---|---|
| Address | 44 Brooklyn Janice Rd, Brooklyn, Mississippi |
| Phone Number | 6015821188 |
| Fax Number | 6015828844 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Dyse Geroldean |
| Telephone Number | 6015458700 |
NPI Number Detail
| NPI Number | 1659348076 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2021-04-16 |
Provider Mailing Address Detail
| Address | 44 Brooklyn Janice Rd |
|---|---|
| City | Brooklyn |
| State | Mississippi (MS) |
| Post Code | 394259731 |
| Phone Number | 6015821188 |
| Fax Number | 6015828844 |
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 |
|---|---|---|---|
| C02142 | MS | CAHABA MEDICARE GR NUMBER | |
| 1821127 | MS | MS UNITED HEALTH CARE | |
| 9014664 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southeast Mississippi Rural Health Initiative, Inc.?
The Southeast Mississippi Rural Health Initiative, Inc. has been issued the NPI (National Provider Identifier) 1659348076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Southeast Mississippi Rural Health Initiative, Inc. is physically located?
The Southeast Mississippi Rural Health Initiative, Inc. is situated at the following address: 44 Brooklyn Janice Rd, Brooklyn, MS 394259731.
What is Southeast Mississippi Rural Health Initiative, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southeast Mississippi Rural Health Initiative, Inc. is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1659348076 to Southeast Mississippi Rural Health Initiative, Inc.?
The Southeast Mississippi Rural Health Initiative, Inc. received its 1659348076 assignment from the Centers for Medicare & Medicaid Services on 2006-03-03.
As of what date was the information regarding Southeast Mississippi Rural Health Initiative, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southeast Mississippi Rural Health Initiative, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-16.