N R Burger School And Community Clinic

LBN: Southeast Mississippi Rural Health Initiative, Inc.
N R Burger School And Community Clinic is an health care organization with primary practice located at 180 W.S.F. Tatum Drive , Hattiesburg MS 39401. 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) 450-0805, or through Ray, Kaye via phone (601) 545-8700.

Contact Information

Primary practice address
180 W.S.F. Tatum Drive Hattiesburg MS 39401
Fax: (601) 450-0806
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 1518907054
LBN Legal business name Southeast Mississippi Rural Health Initiative, Inc.
DBA Doing business as N R Burger School And Community Clinic
Authorized official Ray, Kaye
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 6th, 2006
Last updated Sep 2nd, 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 1518907054 NPPES
Mississippi MEDICAID 07035596

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