NPI 1003153073

Petal High School

Organisation Federally Qualified Health Center (FQHC) Petal, MS

Practice location

Address: 1145 Highway 42, Petal, MS 39465-9740
Phone: (601) 545-8700
Fax: (601) 450-2493
Mailing address: PO Box 1729, Hattiesburg, MS 39403-1729

Authorised official

Name: Janice Robinson
Title: C E O
Phone: (601) 545-8700

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1003153073
Entity type: Organization
NPI issued: 11 Jan 2013
Record last updated: 5 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.