Hattiesburg Family Health Center
LBN: Southeast Mississippi Rural Health Initiative, Inc.
Hattiesburg Family Health Center is an health care organization with primary practice located at 66 Old Airport Rd , Hattiesburg MS 39401-8382. 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) 544-7500, or through Ray, Kaye via phone (601) 545-8700.
Contact Information
Primary practice address
66 Old Airport Rd
Hattiesburg MS 39401-8382
Phone: (601) 544-7500
Fax: (601) 544-7524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Mississippi |
Profile Details
| NPI number | 1538136940 |
|---|---|
| LBN Legal business name | Southeast Mississippi Rural Health Initiative, Inc. |
| DBA Doing business as | Hattiesburg Family Health Center |
| Authorized official | Ray, Kaye |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538136940 | NPPES |
| Mississippi | MEDICAID | 09014057 |
Popular Providers
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Southeast Mississippi Rural Health Initiative, Inc.
404 Lillie Burney St , Hattiesburg MS 39401-5505 -
Southeast Mississippi Rural Health Initiative, Inc.
610 Dumas Ave , Hattiesburg MS 39401-6424 -
Southeast Mississippi Rural Health Initiative, Inc.
180 W.S.F. Tatum Drive , Hattiesburg MS 39401 -
Southeast Mississippi Rural Health Initiative, Inc.
901 Ida Ave , Hattiesburg MS 39401-7776 -
Southeast Mississippi Rural Health Initiative, Inc.
62 Old Airport Rd , Hattiesburg MS 39401-8382 -
Southeast Mississippi Rural Health Initiative, Inc.
10 Archie Smith Rd , Hattiesburg MS 39402-9315 -
Southeast Mississippi Rural Health Initiative, Inc.
605 Stadium Dr , Hattiesburg MS 39401-4156 -
Southeast Mississippi Rural Health Initiative, Inc.
2006 Oferral St , Hattiesburg MS 39401-6061