EAST TALLAHATCHIE SCHOOLS NPI 1962617530

NPI Information

  • NPI: 1962617530
  • Provider Name: EAST TALLAHATCHIE SCHOOLS
  • Classification: Registered Nurse - 163WS0200X
  • Specialization: School
  • Entity Type: Organization
  • Address: 35 OAK GROVE ROAD
    CHARLESTON, MS
    ZIP 38921
  • Phone: (662) 647-5490

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NPI Details

EAST TALLAHATCHIE SCHOOLS is a school registered nurse in Charleston, MS. EAST TALLAHATCHIE SCHOOLS NPI is 1962617530. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35 OAK GROVE ROAD
CHARLESTON, MS
ZIP 38921
Phone: (662) 647-5490
Fax: (662) 647-2113

The provider's authorized official is William H. Tribble .
The authorized official title is Superintendent and has the following contact phone number (662) 647-5524.

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 NurseSchoolR855475MISSISSIPPIYes

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
101535361MEDICAIDMISSISSIPPI

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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