Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petal High School

Organization Federally Qualified Health Center (FQHC) · NPI 1003153073

Petal High School is a Federally Qualified Health Center (FQHC) in Petal, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.

Licensed in
MS
In the registry since
2013

Practice location Address checks out

1145 Highway 42
Petal, MS 39465-9740
Phone: (601) 545-8700
Fax: (601) 450-2493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (MS)

Record details

NPI number1003153073
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoutheast Mississippi Rural Health Initiative, Inc
Authorized official Janice Robinson — C E O · (601) 545-8700
Other names Petal High School; Petal High School
NPI enumeratedJanuary 11, 2013
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing addressPo Box 1729, Hattiesburg, MS 39403-1729

Other providers in Petal