Organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Active
Other names
Seminary Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYE RAY (CEO)
(601) 545-8700
Entity
Organization
Contact information
Practice address
200 MAIN ST, SEMINARY, MS 39479-0000
(601) 545-8700
(601) 450-2493
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05035282
—
MS
01
—
251062
MS MEDICARE PTAN
MS
Enumeration date
10/20/2016
Last updated
09/06/2022
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