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CH04577A SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. (Active)
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Main Details
Name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Subdivision Name
SUMRALL FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001021
340B ID
CH04577A
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
1016 HIGHWAY 42
SUMRALL, MS 39482
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. 7/5/11 - CHANGED ADDRESS FROM 1109 HIGHWAY 42, CHANGED AO FROM HOPE THOMLEY AND CONTACT FROM MICAH POOLE.
07/05/2011
11/4/04 ADDED BILL TO. 7/5/11 - CHANGED ADDRESS FROM 1109 HIGHWAY 42, CHANGED AO FROM HOPE THOMLEY AND CONTACT FROM MICAH POOLE.
07/05/2011
May 2025
May 2025
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