| Southeast Mississippi Rural Health Initiative, Inc | |
|
16 Ada Bounds Dr Lumberton MS 39455-2343 | |
| (601) 796-3721 | |
| (601) 796-9437 |
| Full Name | Southeast Mississippi Rural Health Initiative, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Ada Bounds Dr, Lumberton, Mississippi |
| Authorized Official Name and Position | Kaye Ray (CEO) |
| 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 16 Ada Bounds Dr Lumberton MS 39455-2343 Ph: (601) 796-3721 |
| NPI Number | 1538733795 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 2466342605 |
|---|---|
| Medicare Enrollment ID | O20221108003267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538733795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 598 W 11th Ave, Lumberton, MS 39455 Phone: 601-796-4215 Fax: 601-796-9437 | |
Hattiesburg Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 E Main Ave, Lumberton, MS 39455 Phone: 601-796-7030 Fax: 601-796-7956 | |
Southeast Mississippi Rural Health Initiative, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7920 U S Highway 11, Lumberton, MS 39455 Phone: 601-796-2451 Fax: 601-796-9437 | |
Southeast Mississippi Rural Health Initiative, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7918 U S Highway 11, Lumberton, MS 39455 Phone: 601-796-2451 Fax: 601-450-0231 | |
Southeast Mississippi Rural Health Initiative, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 Bilbo Rd, Lumberton, MS 39455 Phone: 601-796-4483 Fax: 601-796-9437 | |
Lumberton Public School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 10th Ave, Lumberton, MS 39455 Phone: 601-796-2441 |