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CH04577U SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. (Active)
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Main Details
Name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Subdivision Name
HATTIESBURG COMMUNITY DENTAL CTR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000754
340B ID
CH04577U
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
2/19/2025
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
68 Airport Rd
Hattiesburg, MS 39401-8382
Billing Address
Southeast Mississippi Rural Health Initiative, Inc.
DBA - Hattiesburg Community Dental Center
P. O. Box 1729
Hattiesburg, MS 39403-1729
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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