Southeast Mississippi Rural Health Initiative, Inc.
Southeast Mississippi Rural Health Initiative, Inc. is a health care provider in Lumberton, MS. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 598 W 11th Ave, Lumberton, MS 39455-2350, US |
|Practice Location Phone||601-796-4215|
|Practice Location Fax||601-796-9437|
|Legal Business Name||SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.|
|Other Organization Name||LUMBERTON FAMILY HEALTH CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Mar 8, 2006|
|Last Update Date ? ||Mar 21, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Southeast Mississippi Rural Health Initiative, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Federally Qualified Health Center (FQHC) ||Mississippi|
Legacy Provider IDs of Southeast Mississippi Rural Health Initiative, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
|2704664||Mississippi||Other||MS UNITED HEALTH CARE|
|C02142||Mississippi||Other||CAHABA MEDICARE GR NUMBER|
Authorized Official of Southeast Mississippi Rural Health Initiative, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Southeast Mississippi Rural Health Initiative, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Geroldean Dyse|
|Authorized Official Title/Position||EXECUTIVE DIRECTOR|
|Authorized Official Phone Number||601-545-8700|