SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC
NPI 1730753914
Clinic/Center - Federally Qualified Health Center (FQHC) in Hattiesburg, MS

Q: What is Southeast Mississippi Rural Health Initiative, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 13, 2021

1760 OLD HIGHWAY 24, HATTIESBURG, MS 39402(601) 264-6724(601) 796-9437 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2022, May 13, 2021 (2 updates tracked since 2021).

On this page

About Southeast Mississippi Rural Health Initiative, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC (NPI 1730753914), doing business as Oak Grove Upper Elementary, is a healthcare organization registered as a federally qualified health center (fqhc) in Hattiesburg, Mississippi and active in the NPI registry since May 2021. The organization lists Geroldean Dyse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730753914

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC

Location Address1760 OLD HIGHWAY 24Hattiesburg, MS 39402-8235

Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-0231

Phone(601) 264-6724

Fax(601) 796-9437

Organization SubpartNo

Authorized OfficialGeroldean DyseCeo · (601) 545-8700

Enumeration DateMay 13, 2021

Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration

NPPES CertifiedNovember 4, 2022

✔ NPI 1730753914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

1760 OLD HIGHWAY 24, Hattiesburg, MS 39402

Open in Google Maps ↗

Other Names 1

Doing Business AsOak Grove Upper Elementary

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR COUNTY SCHOOL DISTRICT

Registered Nurse (School)

1760 OLD HIGHWAY 24
HATTIESBURG, MS 39402

Lamar County (601) 264-6724

BELLEVUE ELEMENTARY

Clinic/Center (Federally Qualified Health Center (FQHC))

1760 OLD HIGHWAY 24
HATTIESBURG, MS 39402

Lamar County (601) 267-6727

BELLEVUE ELEMENTARY SCHOOL

Clinic/Center (Student Health)

1760 OLD HIGHWAY 24
HATTIESBURG, MS 39402

Lamar County (601) 264-6724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Mississippi Rural Health Initiative, Inc's NPI number?

The NPI number for Southeast Mississippi Rural Health Initiative, Inc is 1730753914. It was assigned to this organization in the NPPES registry on May 13, 2021. The provider is doing business as Oak Grove Upper Elementary.

Where is Southeast Mississippi Rural Health Initiative, Inc located?

Southeast Mississippi Rural Health Initiative, Inc is located at 1760 Old Highway 24, Hattiesburg, MS 39402. The listed phone number is (601) 264-6724.

What is Southeast Mississippi Rural Health Initiative, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Southeast Mississippi Rural Health Initiative, Inc was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.