Organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Active
Organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Active
Other names
SEMINARY MIDDLE SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYE RAY (CEO)
(601) 545-8700
Entity
Organization
Contact information
Practice address
200 MAIN STREET, SEMINARY, MS 39479-0000
(601) 545-8700
(601) 450-2493
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08557599
—
MS
01
—
251045
MS MEDICARE PTAN
MS
Enumeration date
10/20/2016
Last updated
09/06/2022
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