CENTRAL MS SCHOOL BASED HEALTH LLC NPI 1912933623

NPI Information

  • NPI: 1912933623
  • Provider Name: CENTRAL MS SCHOOL BASED HEALTH, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 26050 HIGHWAY 12
    MC COOL, MS
    ZIP 39108
  • Phone: (662) 289-9404

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NPI Details

CENTRAL MS SCHOOL BASED HEALTH, LLC is a family nurse practitioner in Mc Cool, MS. CENTRAL MS SCHOOL BASED HEALTH, LLC NPI is 1912933623. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

26050 HIGHWAY 12
MC COOL, MS
ZIP 39108-160
Phone: (662) 289-9404
Fax: (662) 289-6450

The provider's authorized official is Cynthia J Dean .
The authorized official title is Member Manager and has the following contact phone number (662) 289-9404.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 3/7/2008.

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
1363LF0000XNurse PractitionerFamilyR853619MISSISSIPPIYes

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
1Q04131MEDICARE UPINMISSISSIPPI

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: 11/21/2025

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