GRENADA SCHOOL DISTRICT NPI 1205041134

NPI Information

NPI: 1205041134
Provider Name: GRENADA SCHOOL DISTRICT
Classification: Registered Nurse - 163WS0200X
Entity Type: Organization

Specialization: School

CLIA Number: 25D2226507

Address:
500 PENDER DR
GRENADA, MS
ZIP 38901
Phone: (662) 226-2818
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GRENADA SCHOOL DISTRICT is a school registered nurse in Grenada, MS. GRENADA SCHOOL DISTRICT NPI is 1205041134. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 PENDER DR
GRENADA, MS
ZIP 38901-294
Phone: (662) 226-2818
Fax: (662) 226-5766

The provider's authorized official is David Daigneault .
The authorized official title is Superintendent and has the following contact phone number (662) 226-1606.

The CLIA number assigned to this NPI record is 25D2226507 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2007 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School	R85440	MISSISSIPPI	Yes

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
1	02775545	MEDICAID	MISSISSIPPI

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: 5/5/2024

NPI Synchronization or Removal

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