Organization · Type 2 NPI

Minor Care Clinic

Federally Qualified Health Center (FQHC) · Hattiesburg, MS

NPI number 1508874769 Active

Practice location

123 S 27th Ave
Hattiesburg, MS 39401-7136

Call (601) 450-3030 Map

Fax (601) 450-3031

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...

Another provider at this address

Keith A. Kersten, DOFamily Medicine Physician Hattiesburg, MS NPI 1861445108

Other federally qualified health center (fqhc) providers in Hattiesburg

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NPI record

NPI: 1508874769
Entity type: Organization (Type 2)
Issued: Aug 4, 2006
Last updated: Feb 6, 2026
Status: Active
Subpart: Yes of Southeast Mississippi Rural Health Initiative, Inc

Other names

<unavail>
Minor Care Clinic · doing business as
Minor Care Clinic · doing business as

Authorized official

Janice Robinson
CEO
(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 1508874769

Minor Care Clinic's National Provider Identifier is 1508874769, issued on Aug 4, 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.