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Organization

MARY BETHUNE ALTERNATIVE SCHOOL

Active
Parent organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Other names
Mary Bethune Alternative School
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
610 DUMAS AVE, HATTIESBURG, MS 39401-6424
(601) 545-8700
(601) 582-5461
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
000602001
MS
05
00602001
MS
Enumeration date
06/06/2006
Last updated
02/06/2026
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