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CH04577D SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. (Active)
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Main Details
Name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Subdivision Name
BROOKLYN FAMILY HEALTH CTR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002839
340B ID
CH04577D
Grant Number
H80CS00610
Additional Details
Current Program Status
Active
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
9/7/2004
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
SeMRHI
Janice Robinson, CEO
(601) 545-3700
Primary Contact
Southeast Mississippi Rural Health Initiative, Inc.
Charnay Ingram, Director of Pharmacy, PharmD
(601) 544-4163 Ext: 3902
Addresses
Street Address
44 BROOKLYN-JANICE ROAD
BROOKLYN, MS 39425
Billing Address
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
PO BOX 1729
HATTIESBURG, MS 39403-1729
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW ADDRESS, NEW BILL TO
06/25/2010
April 2025
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