Organization · Type 2 NPI
Mary Bethune Alternative School
Federally Qualified Health Center (FQHC) · Hattiesburg, MS
NPI number
1790725224
Active
Practice location
610 Dumas Ave
Hattiesburg, MS 39401-6424
Fax (601) 582-5461
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...
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About NPI 1790725224
Mary Bethune Alternative School's National Provider Identifier is 1790725224, issued on Jun 6, 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.