Organization
HATTIESBURG HIGH SCHOOL AND COMMUNITY CLINIC
Active
Parent organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC
Other names
Hattiesburg High School and Community 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
605 STADIUM DR, HATTIESBURG, MS 39401-4156
(601) 450-0310
(601) 450-0321
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
—
005080829
—
MS
05
—
05080829
—
MS
01
—
C02142
CAHABA MEDICARE GR #
MS
Enumeration date
03/14/2006
Last updated
02/06/2026
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