340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH04577Q SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. (Active)
Print
Main Details
Name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Subdivision Name
Petal School Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013968
340B ID
CH04577Q
Grant Number
H80CS00610
Additional Details
Current Program Status
Active
Registration Date
1/7/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/21/2015
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
36 PANTHER STADIUM DR
PETAL, MS 39465-3632
Billing Address
Southeast Mississippi Rural Health Initiative, Inc.
DBA - Petal School Clinic
P. O. Box 1729
Hattiesburg, MS 39403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session