WEST BOLIVAR ELEMENTARY NPI 1003986993

NPI Information

WEST BOLIVAR ELEMENTARY is a public health or welfare in Rosedale, MS. WEST BOLIVAR ELEMENTARY NPI is 1003986993. The provider is registered as an organization entity type.
The provider Is Doing Business As West Bolivar Well Child Clinic.

The provider's business location address is:

1212 SOUTH MAIN STREET
ROSEDALE, MS
ZIP 38769-429
Phone: (662) 759-3823
Fax: (662) 759-0027

The provider's authorized official is Henry Phillips .
The authorized official title is Superintendent and has the following contact phone number (662) 759-3525.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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