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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.

physician-icon Basic Information

Practice Location 598 W 11th Ave, Lumberton, MS 39455-2350, US
Practice Location Phone601-796-4215
Practice Location Fax601-796-9437
Legal Business NameSOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Other Organization NameLUMBERTON FAMILY HEALTH CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1164499174
Entity TypeOrganization
Enumeration Date ? Mar 8, 2006
Last Update Date ? Mar 21, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Southeast Mississippi Rural Health Initiative, Inc.

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC) Mississippi

legacy-id-icon Legacy Provider IDs of Southeast Mississippi Rural Health Initiative, Inc.

Provider IdIssuer StateIssuer TypeIssuer
2704664MississippiOtherMS UNITED HEALTH CARE
09014804MississippiMedicaid
C02142MississippiOtherCAHABA MEDICARE GR NUMBER

official-icon 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/PositionEXECUTIVE DIRECTOR
Authorized Official Phone Number601-545-8700