SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.


Address: 62 Old Airport Rd, Hattiesburg, MS 39401-8382
Phone: 6015444550

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. (NPI# 1831167998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831167998
Entity Type Organization
Organization Name SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Other Organization Name WOMEN'S HEALTH CENTER
Practice Address 62 Old Airport Rd
Hattiesburg
MS 39401-8382
Mailing Address Po Box 1729
Hattiesburg
MS 39403-1729
Practice Telephone 6015444550
Practice Fax Number 6015823373
Mailing Telephone 6015444550
Mailing Fax Number 6015823373
Enumeration Date 2006-03-14
Last Update Date 2011-03-21
Authorized Official Name GEROLDEAN DYSE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6015458700
Is Organization Subpart Y
Parent Organization Name SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
MS Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS MS UNITED HEALTH CENTER 2285409 01
MS 09015420 05

Other Provider/Organization Names

Other Name Type Code
Women's Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407363559 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 215 Old Highway 49 E, Brooklyn, MS 39425-9028 2018-01-10
1952814469 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 64 Old Airport Rd, Hattiesburg, MS 39401-8382 2017-11-07
1053862524 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 104 Carver Drive, Collins, MS 39428 2016-10-20
1477004463 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 824 Hopewell Rd, Collins, MS 39428-5736 2016-10-14
1942751938 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 1208 Dogwood Ave, Collins, MS 39428-4160 2016-10-14
1457800146 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 301 South 4th Street, Mount Olive, MS 39119-0000 2016-09-23
1497202527 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 401 Dogwood Street, Collins, MS 39428-0000 2016-09-07
1184961153 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 60 Herrington Rd, Petal, MS 39465-8842 2013-01-11
1932446051 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 1179 Highway 42, Petal, MS 39465-9740 2013-01-09
1427328889 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 301 Hutchinson Ave, Hattiesburg, MS 39401-4134 2012-01-03

Office Location

Street Address 62 OLD AIRPORT RD
City HATTIESBURG
State MS
Zip Code 39401-8382

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821093691 John Michael Woods Obstetrics & Gynecology 62 Old Airport Rd, Hattiesburg, MS 39401 2005-06-16
1427556349 Candace Johnson Nurse Practitioner 62 Old Airport Rd, Hattiesburg, MS 39401-8382 2018-01-25
1386154243 Martia Moffett Social Worker 62 Old Airport Rd, Hattiesburg, MS 39401-8382 2017-10-05
1871927517 Southeast Mississippi Rural Health Initiative, Inc. Pharmacy 62 Old Airport Rd, Hattiesburg, MS 39401-8382 2013-08-29
1306819891 Eugene Linwood Shannon Obstetrics & Gynecology 62 Old Airport Rd, Hattiesburg, MS 39401-8382 2006-02-07
1588637052 Arthur Dean Cromartie Obstetrics & Gynecology 62 Old Airport Rd, Hattiesburg, MS 39401-8382 2006-02-07
1881675312 Hilda J Mcgee Obstetrics & Gynecology 62 Old Airport Rd, Hattiesburg, MS 39401-8382 2005-11-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598315863 Lisa Thornton Technician 18 Timberline Dr., Hattiesburg, MS 39401 2019-09-18
1548813637 Caroline Estes Barnes Counselor Barnes, 8 App Slade Road, Hattiesburg, MS 39401 2019-07-18
1396252441 Selection Healthcare Services, LLC In Home Supportive Care 606 Adeline St Ste 1c, Hattiesburg, MS 39401 2018-01-10
1225545585 Whitney Wilkinson Nurse Practitioner 301 South 28th Avenue, Hattiesburg, MS 39401 2018-01-08
1740795806 Forrest General Hospital Pharmacy 1414 South 28th Avenue, Hattiesburg, MS 39401 2017-12-11
1275058455 Casey Payne Pharmacist 6130 Us 49, Hattiesburg, MS 39401 2017-08-08
1225562705 Sarah Marie Hudson Family Medicine 6051 Us Highway 49 S, Hattiesburg, MS 39401 2017-04-12
1043671704 The Covington's Cove Assisted Living Center LLC Assisted Living Facility 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 2016-03-09
1780083626 Dominique Reed Watson Pharmacist 602 Adeline St, Hattiesburg, MS 39401 2014-08-15
1558778936 Willie Davis Jr. Day Training, Developmentally Disabled Services 701 Duke Ave., Hattiesbiurg, MS 39401 2014-07-17
Find all providers in zip 39401

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952814469 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 64 Old Airport Rd, Hattiesburg, MS 39401-8382 2017-11-07
1427328889 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 301 Hutchinson Ave, Hattiesburg, MS 39401-4134 2012-01-03
1265461719 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 100 W Front St, Hattiesburg, MS 39401-3460 2006-06-30
1548206857 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 693 Eatonville Rd, Hattiesburg, MS 39401-9708 2006-06-22
1689619934 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 10 Archie Smith Rd, Hattiesburg, MS 39402-9315 2006-06-19
1346284650 Southeast Mississippi Rural Health Initiative, Inc Clinic/Center 702 Eatonville Rd, Hattiesburg, MS 39401-9794 2006-06-16
1790725224 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 610 Dumas Ave, Hattiesburg, MS 39401-6424 2006-06-06
1679513113 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 2006 Oferral St, Hattiesburg, MS 39401-6061 2006-06-06
1164462610 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 790 Elks Lake Rd, Hattiesburg, MS 39401-0357 2006-06-06
1932149481 Southeast Mississippi Rural Health Initiative, Inc. Clinic/Center 316 Travillion Rd, Hattiesburg, MS 39401-8361 2006-06-06
Find all providers in HATTIESBURG

Competitor

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City HATTIESBURG
Zip Code 39401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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