North Forrest Attendance Center

LBN: Southeast Mississippi Rural Health Initiative, Inc
North Forrest Attendance Center is an health care organization with primary practice located at 702 Eatonville Rd , Hattiesburg MS 39401-9794. 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
702 Eatonville Rd Hattiesburg MS 39401-9794
Fax: (601) 582-5461
Website:
Authorized official contact:
Name: Ray, Kaye

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Mississippi

Profile Details

NPI number 1346284650
LBN Legal business name Southeast Mississippi Rural Health Initiative, Inc
DBA Doing business as North Forrest Attendance Center
Authorized official Ray, Kaye
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346284650 NPPES
Mississippi MEDICAID 07984891

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