Mary Bethune Alternative School
NPI 1790725224 · Federally Qualified Health Center (FQHC) · Hattiesburg, MS
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1790725224
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Southeast Mississippi Rural Health Initiative, Inc.
- Organization subpart
- Yes
- Authorized official
- Janice Robinson, Chief Executive Officer(601) 545-8700
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mary Bethune Alternative School
- Doing business as
- Mary Bethune Alternative School
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.