OAK GROVE ELEMENTARY SCHOOL NPI 1194122994

NPI Information

  • NPI: 1194122994
  • Provider Name: OAK GROVE ELEMENTARY SCHOOL
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • Former Legal Business Name: OAK GROVE PRIMARY SCHOOL
  • Address: 70 LEAF LN
    HATTIESBURG, MS
    ZIP 39402
  • Phone: (601) 264-9764

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NPI Details

OAK GROVE ELEMENTARY SCHOOL is a student health clinic center in Hattiesburg, MS. OAK GROVE ELEMENTARY SCHOOL NPI is 1194122994. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Oak Grove Primary School.

The provider's business location address is:

70 LEAF LN
HATTIESBURG, MS
ZIP 39402-549
Phone: (601) 264-9764

The provider's authorized official is Steven Hampton .
The authorized official title is Superintendent Of Education and has the following contact phone number (601) 794-1030.

The enumeration date for this NPI number is 11/24/2014 and was last updated on 10/27/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WS0200XRegistered NurseSchoolR888519MISSISSIPPINo
2261QS1000XClinic/CenterStudent Health876971MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102622376MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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