SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC. NPI 1184961153

NPI Information

NPI: 1184961153
Provider Name: SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.

Other Name: PETAL PRIMARY SCHOOL

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
60 HERRINGTON RD
PETAL, MS
ZIP 39465
Phone: (601) 545-8700
Get Directions

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. is a federally qualified health center (fqhc) clinic center in Petal, MS. SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. NPI is 1184961153. The provider is registered as an organization entity type.
The provider Other Name Is Petal Primary School.

The provider's business location address is:

60 HERRINGTON RD
PETAL, MS
ZIP 39465-842
Phone: (601) 545-8700
Fax: (601) 450-2493

The provider's authorized official is Geroldean Dyse .
The authorized official title is Ceo and has the following contact phone number (601) 545-8700.

The enumeration date for this NPI number is 1/11/2013 and was last updated on 4/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »