SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. is a federally qualified health center (fqhc) clinic center in Hattiesburg, MS. SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. NPI is 1023087400. The provider is registered as an organization entity type.
The provider Is Doing Business As Hattiesburg Public School And Community Clinic.
The provider's business location address is:
404 LILLIE BURNEY ST
HATTIESBURG, MS
ZIP 39401-505
Phone: (601) 450-6500
Fax: (601) 450-6503
The provider's authorized official is Kaye Ray .
The authorized official title is Executive Director and has the following contact phone number (601) 545-8700.
The CLIA number assigned to this NPI record is 25D1025504 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 3/16/2006 and was last updated on 9/6/2022.