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CH04577AG SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. (Active)
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Main Details
Name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Subdivision Name
Oak Grove High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035226
340B ID
CH04577AG
Grant Number
H80CS00610
Additional Details
Current Program Status
Active
Registration Date
10/11/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/20/2023
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
5198 Old Highway 11
Hattiesburg, MS 39402-6222
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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