Southeast Mississippi Rural Health Initiative, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Seminary, MS
NPI 1962953430 · NPPES record last updated Sep 6, 2022
Key facts
- NPI
- 1962953430
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
- Practice address
- 200 Main Street
Seminary, MS 39479-0000 - Phone
- (601) 545-8700
- Fax
- (601) 450-2493
- NPI assigned
- Oct 20, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kaye Ray
- Title
- Ceo
- Phone
- (601) 545-8700
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
200 Main Street
Seminary, MS 39479-0000
Mailing address
PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251045 | Other | MS | MS MEDICARE PTAN |
| 08557599 | Medicaid | MS |
Other names
- SEMINARY MIDDLE SCHOOL
Other providers in Seminary, MS
- Seminary Family Health Center
- Shelley Marie Shoemake
- Linda Walton Smith
- Southeast Mississippi Rural Health Initiative, Inc.
- Southeast Mississippi Rural Health Initiative, Inc.
- The Cardiovascular & Pulmonary Optimization Institute
- Christian Morgan Whitehead
- Donna C Wilcosky
- Lindy Cochran Windham
All providers in Seminary, MS · Federally Qualified Health Center (FQHC) in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.