| Southeast Mississippi Rural Health Initiative, Inc. | |
|
100 Highway 535 Seminary MS 39479-9217 | |
| (601) 722-3208 | |
| (601) 722-3304 |
| Full Name | Southeast Mississippi Rural Health Initiative, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Highway 535, Seminary, Mississippi |
| Authorized Official Name and Position | Kaye Ray (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6015458700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Mississippi Rural Health Initiative, Inc. Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700 | Southeast Mississippi Rural Health Initiative, Inc. 100 Highway 535 Seminary MS 39479-9217 Ph: (601) 722-3208 |
| NPI Number | 1851368260 |
|---|---|
| Provider Enumeration Date | 03/03/2006 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 2466342605 |
|---|---|
| Medicare Enrollment ID | O20100113000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851368260 | NPI | - | NPPES |
| 09010042 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Hattiesburg Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Bobby Beasley St, Seminary, MS 39479 Phone: 601-722-4300 Fax: 601-722-9092 | |
Covington County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 W Main St, Seminary, MS 39479 Phone: 601-722-3610 Fax: 601-722-9985 | |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Main Street, Seminary, MS 39479 Phone: 601-545-8700 Fax: 601-450-2493 | |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Main St, Seminary, MS 39479 Phone: 601-545-8700 Fax: 601-450-2493 | |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Main Street, Seminary, MS 39479 Phone: 601-545-8700 Fax: 601-450-2493 |