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Organization

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC

Active
Other names
Oak Grove Upper Elementary
Organization subpart
No

Provider details

NPI number
Authorized official
GEROLDEAN DYSE (CEO)
(601) 545-8700
Entity
Organization

Contact information

Practice address
1760 OLD HIGHWAY 24, HATTIESBURG, MS 39402-8235
(601) 264-6724
(601) 796-9437
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

Other

Enumeration date
05/13/2021
Last updated
11/04/2022
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