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Organization

HATTIESBURG HIGH SCHOOL CAMPUS CLINIC

Active
Parent organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Other names
Hattiesburg High School Campus Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Authorized official
JANICE ROBINSON (CEO)
(601) 545-8700
Entity
Organization

Contact information

Practice address
301 HUTCHINSON AVE, HATTIESBURG, MS 39401-4134
(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
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004957808
MS
05
04957808
MS
Enumeration date
01/03/2012
Last updated
02/06/2026
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