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Organization

MINOR CARE CLINIC

Active
Parent organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC
Other names
Minor Care 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
123 S 27TH AVE, HATTIESBURG, MS 39401-7136
(601) 450-3030
(601) 450-3031
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
004786024
MS
05
04786024
MS
Enumeration date
08/04/2006
Last updated
02/06/2026
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