Dixie Attendance Center
LBN: Southeast Mississippi Rural Health Initiative, Inc.
Dixie Attendance Center is an health care organization with primary practice located at 790 Elks Lake Rd , Hattiesburg MS 39401-0357. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Southeast Mississippi Rural Health Initiative, Inc. can be contacted via phone (601) 545-8700, or through Ray, Kaye via phone (601) 545-8700.
Contact Information
Primary practice address
790 Elks Lake Rd
Hattiesburg MS 39401-0357
Phone: (601) 545-8700
Fax: (601) 582-5461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Mississippi |
Profile Details
| NPI number | 1164462610 |
|---|---|
| LBN Legal business name | Southeast Mississippi Rural Health Initiative, Inc. |
| DBA Doing business as | Dixie Attendance Center |
| Authorized official | Ray, Kaye |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Sep 6th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164462610 | NPPES |
| Mississippi | MEDICAID | 04983807 |
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