Southeast Mississippi Rural Health Initiative, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.

Doing business as

North Forrest Attendance Center

Practice address

702 Eatonville Rd
Hattiesburg, MS 39401-9794

Phone

(601) 545-8700

Fax

(601) 450-2493

NPI assigned

Jun 16, 2006

Last updated

Mar 5, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janice Robinson

Title

Ceo

Phone

(601) 545-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Forrest Attendance Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346284650. Details of each certification follow.

• CCN 251951 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 251951

Legal name

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.

Doing business as

NORTH FORREST ATTENDANCE CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 21, 2005

Last certification

Apr 21, 2005

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

May 29, 1979 in MS

Enrollment address

702 Eatonville Rd
Hattiesburg, MS 39401-9794

Tax ID family

Bellevue Elementary59 organizations share this tax ID, including this one

Part of

Bellevue Elementary

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dixie Attendance Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1164462610
  NPD tax ID
• Forrest County Agricultural High School

  dba Forrest Agricultural High School

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MS
  • NPI 1407363559
  NPD tax ID
• Hattiesburg Community Dental Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1366468266
  NPD tax ID
• Hattiesburg High School Campus Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1427328889
  NPD tax ID
• Hattiesburg Public School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1023087400
  NPD tax ID
• Hawkins Elementary School

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1194783985
  NPD tax ID
• Lumberton Elementary School

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1538733795
  NPD tax ID
• Lumberton Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1164499174
  NPD tax ID
• Lumberton High School

  dba Lumberton High School (9-12)

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1356915516
  NPD tax ID
• Minor Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1508874769
  NPD tax ID
• N R Burger School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1518907054
  NPD tax ID
• North Forrest Jr/Sr High School

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1548206857
  NPD tax ID

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 37

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1346284650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-8700",
            "fax_number": "601-450-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 EATONVILLE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394019794",
            "telephone_number": "601-545-8700",
            "fax_number": "601-450-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-545-8700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007984891",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Forrest Attendance Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Forrest Attendance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Mississippi Neurosurgical Services, PLLC
• Southeast Mississippi Rural Health Initiative, Inc (Oak Grove Upper Elementary)
• Southeast Mississippi Rural Health Initiative, Inc. (Thames Elementary School)
• Southeast Mississippi Rural Health Initiative, Inc.
• Southeast Mississippi Rural Health Initiative, Inc. (Grace Christian Elementary School)
• Southeast Mississippi Rural Health Initiative, Inc. (Hattiesburg Family Health Center)
• Southeast Mississippi Rural Health Initiative, Inc. (Lillie Burney Elementry School)
• Southeast Mississippi Rural Health Initiative, Inc. (Earl Travillion Attendance Center)
• Southeast Mississippi Rural Health Inititive (Pharmacy Assistance Center)
• Southeast Ms Air Ambulance District

• Federally Qualified Health Center (FQHC) in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Federally Qualified Health Center (FQHC) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.