NPIMap

Organization Active NPI

West Bolivar Elementary

  • Public Health or Welfare Agency
  • Rosedale, MS
National Provider Identifier
1003986993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
R865655 Issued in MS
Legal business name
WEST BOLIVAR ELEMENTARY
Practice address
1212 South Main Street
Rosedale, MS 38769-0429
Phone
(662) 759-3823
Fax
(662) 759-0027
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Henry Phillips
Title
Superintendent
Phone
(662) 759-3525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X R865655 MS Primary

Addresses

Primary practice location

1212 South Main Street
Rosedale, MS 38769-0429

Mailing address

1212 South Main Street
P.O. Box 429
Rosedale, MS 38769-0429
Phone (662) 759-3823

Other names 1

  • West Bolivar Well Child Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Bolivar Elementary3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003986993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SOUTH MAIN STREET",
            "address_2": "P.O. BOX 429",
            "city": "ROSEDALE",
            "state": "MS",
            "postal_code": "387690429",
            "telephone_number": "662-759-3823",
            "fax_number": "662-759-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SOUTH MAIN STREET",
            "city": "ROSEDALE",
            "state": "MS",
            "postal_code": "387690429",
            "telephone_number": "662-759-3823",
            "fax_number": "662-759-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BOLIVAR ELEMENTARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "662-759-3525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MS",
            "license": "R865655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Bolivar Well Child Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.