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CH04577F SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. (Active)
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Main Details
Name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Subdivision Name
LUMBERTON FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005128
340B ID
CH04577F
Grant Number
H80CS00610
Additional Details
Current Program Status
Active
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
11/4/2004
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
598 WEST 11TH AVENUE
LUMBERTON, MS 39455
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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11/4/04 ADDED BILL TO
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