SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. – NPI #1053862524
Clinic/Center

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. is an AHC clinic located in COLLINS, MS. NPPES has assigned the NPI number 1053862524 to SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. on October 20, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. is also known by the name CARVER MIDDLE SCHOOL. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Sep 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. below.

NPI Profile for
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.

NPI Number
1053862524
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Other Name: CARVER MIDDLE SCHOOL
Primary location
104 CARVER DRIVE
COLLINS, MS 39428
Phone: (601) 545-8700 Fax: (601) 450-2493
Mailing address
PO BOX 1729
HATTIESBURG, MS 39403-1729
Phone: (601) 545-8700 Fax: (601) 450-2493
Organization Subpart
No
Authorized Official
KAYE RAY
CEO
Phone: (601) 545-8700
Updated
Certification Date
Sep 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS02236381
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.