Organization · Type 2 NPI

Southeast Mississippi Rural Health Initiative, Inc.

Federally Qualified Health Center (FQHC) · Sumrall, MS

NPI number 1194399360 Active · reactivated Jul 8, 2022

Practice location

184 Center Ave
Sumrall, MS 39482-9629

Fax (601) 796-9437

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1194399360

Southeast Mississippi Rural Health Initiative, Inc.'s National Provider Identifier is 1194399360, issued on May 13, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sumrall, MS. The record was last updated on Oct 28, 2026.