Organization · Type 2 NPI

Petal Upper Elementary School

Federally Qualified Health Center (FQHC) · Petal, MS

NPI number 1821335894 Active

Practice location

400 Hillcrest Loop
Petal, MS 39465-2634

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...

Another provider at this address

Petal School DistrictRegistered Nurse Petal, MS NPI 1356563605

Other federally qualified health center (fqhc) providers in Petal

See all in Petal →

NPI record

NPI: 1821335894
Entity type: Organization (Type 2)
Issued: Jan 11, 2013
Last updated: Feb 5, 2026
Status: Active
Subpart: Yes of Southeast Mississippi Rural Health Initiative, Inc.

Other names

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Petal Upper Elementary School · other name
Petal Upper Elementary School · other name

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 1821335894

Petal Upper Elementary School's National Provider Identifier is 1821335894, 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 Feb 5, 2026.