Organization · Type 2 NPI

Hattiesburg Public School and Community Clinic

Federally Qualified Health Center (FQHC) · Hattiesburg, MS

NPI number 1023087400 Active

Practice location

404 Lillie Burney St
Hattiesburg, MS 39401-5505

Call (601) 450-6500 Map

Fax (601) 450-6503

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...

2 other providers at this address

Karen 'kim' Kimbrough Howell, FNP-BCFamily Nurse Practitioner Hattiesburg, MS NPI 1447237847
Kisha L. Knight, FNP-BCFamily Nurse Practitioner Hattiesburg, MS NPI 1023319936

Other federally qualified health center (fqhc) providers in Hattiesburg

See all in Hattiesburg →

NPI record

NPI: 1023087400
Entity type: Organization (Type 2)
Issued: Mar 16, 2006
Last updated: Feb 6, 2026
Status: Active
Subpart: Yes of Southeast Mississippi Rural Health Initiative, Inc

Other names

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Hattiesburg Public School and Community Clinic · doing business as
Hattiesburg Public School and Community Clinic · doing business as

Authorized official

Janice Robinson
Executive Director
(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 1023087400

Hattiesburg Public School and Community Clinic's National Provider Identifier is 1023087400, issued on Mar 16, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 6, 2026.