POPLARVILLE SPECIAL SEPARATE MUNICIPAL SCHOOL DISTRICT NPI 1740495373

NPI Information

  • NPI: 1740495373
  • Provider Name: POPLARVILLE SPECIAL SEPARATE MUNICIPAL SCHOOL DISTRICT
  • Classification: Registered Nurse - 163WS0200X
  • Specialization: School
  • Entity Type: Organization
  • Other Name: POPLARVILLE LOWER ELEMENTARY EPSDT CLINIC
  • Address: 804 S JULIA ST
    POPLARVILLE, MS
    ZIP 39470
  • Phone: (601) 795-8477

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NPI Details

POPLARVILLE SPECIAL SEPARATE MUNICIPAL SCHOOL DISTRICT is a school registered nurse in Poplarville, MS. POPLARVILLE SPECIAL SEPARATE MUNICIPAL SCHOOL DISTRICT NPI is 1740495373. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Poplarville Lower Elementary Epsdt Clinic.

The provider's business location address is:

804 S JULIA ST
POPLARVILLE, MS
ZIP 39470-017
Phone: (601) 795-8477
Fax: (601) 795-0712

The provider's authorized official is Louise Smith .
The authorized official title is Support Staff Specialist and has the following contact phone number (601) 795-8477.

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
1163WS0200XRegistered NurseSchoolR859077MISSISSIPPIYes

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
109016077MEDICAIDMISSISSIPPI

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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