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 1720327919. The provider is registered as an organization entity type. The provider Other Name Is Petal Middle School.
The provider's business location address is:
203 HIGHWAY 42 PETAL, MS ZIP 39465-864 Phone: (601) 584-6301 Fax: (601) 450-2493
The provider's authorized official is Kaye Ray . The authorized official title is Chief Executive Officeer and has the following contact phone number (601) 545-8700.
The enumeration date for this NPI number is 2/7/2013 and was last updated on 9/6/2022.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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
NPI Synchronization or Removal
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