Organization Active NPI

Southeast Mississippi Rural Health Initiative, Inc

Doing business as Lumberton Middle School

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
National Provider Identifier
1447824602
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC
Doing business as
Lumberton Middle School
Practice address
7918 U S Highway 11
Lumberton, MS 39455-2411
Phone
(601) 796-2451
Fax
(601) 450-0231
NPI assigned
May 13, 2021
Reactivated
Jul 8, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Mrs. Kaye Ray
Title
Ceo
Phone
(601) 545-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

7918 U S Highway 11
Lumberton, MS 39455-2411

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700

Other names 1

  • Lumberton Middle School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bellevue Elementary59 organizations share this tax ID, including this one

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.

View all 24

Locations

7918 U S Highway 11
Lumberton, MS 39455
Phone (601) 796-2451

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1447824602",
    "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": "601-450-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 U S HIGHWAY 11",
            "city": "LUMBERTON",
            "state": "MS",
            "postal_code": "394552411",
            "telephone_number": "601-796-2451",
            "fax_number": "601-450-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "deactivation_date": "2021-07-20",
        "reactivation_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-545-8700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lumberton Middle School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lumberton Middle School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.