{"npi":"1932149481","type":"NPI-2","status":"active","name":{"display":"Southeast Mississippi Rural Health Initiative, Inc.","other":[],"organization_name":"SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.","authorised_official":"Janice Robinson"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":"MS","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"316 TRAVILLION RD","city":"HATTIESBURG","state":"MS","postal_code":"394018361","country_code":"US","phone":"6015458700","fax":"6014502493"},{"purpose":"MAILING","street_1":"PO BOX 1729","city":"HATTIESBURG","state":"MS","postal_code":"394031729","country_code":"US","phone":"6015458700","fax":"6015825461"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"003458011","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050311000307","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"MS","pac_id":"2466342605"}]},"enumeration_date":"2006-06-06","last_updated":"2026-06-03","_meta":{"source":"NPPES","snapshot_date":"2026-06-03","doc_url":"https://findmynpi.com/api"}}