Organization
OUTREACH HEALTH SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA HOWZE (EXECUTIVE DIRECTOR)
(601) 687-5859
Entity
Organization
Contact information
Practice address
130 NORTH HIGH STREET, SHUBUTA, MS 39360
(601) 687-5859
(601) 687-5408
Mailing address
PO BOX 527, 130 N HIGH ST, SHUBUTA, MS 39360-0527
(601) 687-5859
(601) 687-5408
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08384012
—
MS
05
—
09013496
—
MS
Enumeration date
10/11/2006
Last updated
03/09/2015
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