SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC. NPI 1003852203

NPI Information

  • NPI: 1003852203
  • Provider Name: SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: SOUTH PERRY ELEMENTARY SCHOOL
  • Address: 1300 BEAUMONT BROOKLYN RD
    BEAUMONT, MS
    ZIP 39423
  • Phone: (601) 545-8700

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NPI Details

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. is a federally qualified health center (fqhc) clinic center in Beaumont, MS. SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. NPI is 1003852203. The provider is registered as an organization entity type.
The provider Is Doing Business As South Perry Elementary School.

The provider's business location address is:

1300 BEAUMONT BROOKLYN RD
BEAUMONT, MS
ZIP 39423-233
Phone: (601) 545-8700
Fax: (601) 582-5461

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

The enumeration date for this NPI number is 6/22/2006 and was last updated on 9/6/2022.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101873344MEDICAIDMISSISSIPPI

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: 11/21/2025

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