SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC. NPI 1831167998

NPI Information

  • NPI: 1831167998
  • Provider Name: SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: WOMEN'S HEALTH CENTER
  • CLIA Number: 25D0979033
  • Address: 62 OLD AIRPORT RD
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 544-4550

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NPI Details

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 1831167998. The provider is registered as an organization entity type.
The provider Is Doing Business As Women's Health Center.

The provider's business location address is:

62 OLD AIRPORT RD
HATTIESBURG, MS
ZIP 39401-382
Phone: (601) 544-4550
Fax: (601) 582-3373

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 25D0979033 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/14/2006 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
12285409OTHERMISSISSIPPIMS UNITED HEALTH CENTER
209015420MEDICAIDMISSISSIPPI

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: 3/30/2025

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