Organization · Type 2 NPI

Southeast Mississippi Rural Health Initiative, Inc.

Federally Qualified Health Center (FQHC) · Petal, MS

NPI number 1003153073 Active

Practice location

1145 Highway 42
Petal, MS 39465-9740

Call (601) 545-8700 Map

Fax (601) 450-2493

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Other federally qualified health center (fqhc) providers in Petal

Petal Primary SchoolFederally Qualified Health Center (FQHC) Petal, MS NPI 1184961153
Southeast Mississippi Rural Health Initiative, Inc.Federally Qualified Health Center (FQHC) Petal, MS NPI 1225073968
Petal Middle SchoolFederally Qualified Health Center (FQHC) Petal, MS NPI 1720327919
Petal Upper Elementary SchoolFederally Qualified Health Center (FQHC) Petal, MS NPI 1821335894
Southeast Mississippi Rural Health Initiative, Inc.Federally Qualified Health Center (FQHC) Petal, MS NPI 1932446051
Petal School ClinicFederally Qualified Health Center (FQHC) Petal, MS NPI 1952724650

See all in Petal →

NPI record

NPI: 1003153073
Entity type: Organization (Type 2)
Issued: Jan 11, 2013
Last updated: Oct 16, 2026
Status: Active
Subpart: Yes of Southeast Mississippi Rural Health Initiative, Inc.

Other names

<unavail>
Petal High School · doing business as
Petal High School · other name

Authorized official

Janice Robinson
C E O
(601) 545-8700

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003153073

Southeast Mississippi Rural Health Initiative, Inc.'s National Provider Identifier is 1003153073, issued on Jan 11, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Petal, MS. The record was last updated on Oct 16, 2026.