FORREST COUNTY SCHOOL DISTRICT VOLUNTARILY INTERNS NPI 1699366542

NPI Information

NPI: 1699366542
Provider Name: FORREST COUNTY SCHOOL DISTRICT VOLUNTARILY INTERNS
Classification: Private Vehicle - 347C00000X
Entity Type: Organization

CLIA Number: 25D2229643

Address:
400 FORREST ST
HATTIESBURG, MS
ZIP 39401
Phone: (601) 545-6055
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FORREST COUNTY SCHOOL DISTRICT VOLUNTARILY INTERNS is a private vehicle in Hattiesburg, MS. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. FORREST COUNTY SCHOOL DISTRICT VOLUNTARILY INTERNS NPI is 1699366542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 FORREST ST
HATTIESBURG, MS
ZIP 39401-455
Phone: (601) 545-6055

The provider's authorized official is Jacob Cornelius Parker .
The authorized official title is Physician Assistant Student and has the following contact phone number (601) 545-6055.

The CLIA number assigned to this NPI record is 25D2229643 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2021 and was last updated on 3/17/2022.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	174200000X	Meals		No
3	177F00000X	Lodging		No
4	253J00000X	Foster Care Agency		No
5	347D00000X	Train		No
6	347C00000X	Private Vehicle		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	MS0800375	OTHER	MISSISSIPPI	HEALTHCARE PROVIDER EMPLOYEE

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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