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HATTIESBURG HIGH SCHOOL AND COMMUNITY CLINIC
NPI 1760451777
Clinic/Center - Federally Qualified Health Center (FQHC) in Hattiesburg, MS

Active since March 14, 2006
605 STADIUM DR, HATTIESBURG, MS 39401(601) 450-0310(601) 450-0321 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2026, Sep 6, 2022, Apr 16, 2021 (3 updates tracked since 2021).

About Hattiesburg High School And Community Clinic NPPES

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

HATTIESBURG HIGH SCHOOL AND COMMUNITY CLINIC (NPI 1760451777) is a healthcare organization registered as a federally qualified health center (fqhc) in Hattiesburg, Mississippi and active in the NPI registry since March 2006. The organization lists Janice Robinson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760451777
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHATTIESBURG HIGH SCHOOL AND COMMUNITY CLINIC
Location Address605 STADIUM DRHattiesburg, MS 39401-4156
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-2493
Phone(601) 450-0310
Fax(601) 450-0321
Organization SubpartYesParent: Southeast Mississippi Rural Health Initiative, Inc
Authorized OfficialJanice RobinsonCeo · (601) 545-8700
Enumeration DateMarch 14, 2006
Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1760451777 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
605 STADIUM DR, Hattiesburg, MS 39401
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Other Names 1

Doing Business AsHattiesburg High School And Community Clinic

Other Identifiers 1

Medicaid005080829MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 7

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

MRS. LISA DELORIS SLADE FNP-BC
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
MARY DARLENE BOLTON FNP-BC
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
MRS. RUTHIE BOBO ZINN LCSW
Social Worker (Clinical)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
DONNA MARIA BLACK LCSW
Social Worker
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
MRS. GWENDOLYN D HARRIS-COCROFT FNP
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
MRS. JOYCE BRENDA MARTIN CFNP
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 545-8700
MONICA V BLAKLEY FNP-C
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310

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 Hattiesburg High School And Community Clinic's NPI number?

The NPI number for Hattiesburg High School And Community Clinic is 1760451777. It was assigned to this organization in the NPPES registry on March 14, 2006.

Where is Hattiesburg High School And Community Clinic located?

Hattiesburg High School And Community Clinic is located at 605 Stadium Dr, Hattiesburg, MS 39401. The listed phone number is (601) 450-0310.

What is Hattiesburg High School And Community Clinic's specialty?

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

What insurance does Hattiesburg High School And Community Clinic accept?

Health plans from Molina Healthcare and UnitedHealthcare list Hattiesburg High School And Community Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hattiesburg High School And Community Clinic was last updated on February 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.