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Organization

BROOKLYN FAMILY HEALTH CENTER

Active
Parent organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC
Other names
Brooklyn Family Health Center
Organization subpart
Yes

Provider details

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

Contact information

Practice address
44 BROOKLYN JANICE RD, BROOKLYN, MS 39425-9731
(601) 582-1188
(601) 582-8844
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-0231

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009014664
MS
05
09014664
MS
01
1821127
MS UNITED HEALTH CARE
MS
01
C02142
CAHABA MEDICARE GR NUMBER
MS
Enumeration date
03/03/2006
Last updated
02/06/2026
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