| Southeast Mississippi Rural Health Initiative, Inc. | |
|
200 Main Street Seminary MS 39479-0000 | |
| (601) 545-8700 | |
| (601) 450-2493 |
| Full Name | Southeast Mississippi Rural Health Initiative, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 200 Main Street, Seminary, Mississippi |
| Authorized Official Name and Position | Kaye Ray (CEO) |
| Authorized Official Contact | 6015458700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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. 200 Main Street Seminary MS 39479-0000 Ph: (601) 545-8700 |
| NPI Number | 1962953430 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962953430 | NPI | - | NPPES |
| 251045 | Other | MS | MS MEDICARE PTAN |
| 08557599 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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: Medicare Enrolled Practice Location: 100 Highway 535, Seminary, MS 39479 Phone: 601-722-3208 Fax: 601-722-3304 |