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 1952724650. The provider is registered as an organization entity type. The provider Is Doing Business As Petal School Clinic.
The provider's business location address is:
36 PANTHER STADIUM DR PETAL, MS ZIP 39465-632 Phone: (601) 450-2144 Fax: (601) 450-2145
The provider's authorized official is Kaye Ray . The authorized official title is Cheif Executive Officer and has the following contact phone number (601) 545-8700.
The enumeration date for this NPI number is 1/31/2014 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
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.
