Mound Bayou Public School District

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

09015483 Issued in MS

Legal business name

MOUND BAYOU PUBLIC SCHOOL DISTRICT

Practice address

202 W Martin Luther King St
Mound Bayou, MS 38762-9775

Phone

(662) 741-2433

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

William Crockett, EDS ADMINISTRATION

Title

Superintendent

Phone

(662) 741-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

I T Montgomery Elementary School2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mound Bayou Public Schools

  • School Registered Nurse
  • Mound Bayou, MS
  • NPI 1578785820
  NPD tax ID

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1013191337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MARTIN LUTHER KING ST",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629738",
            "telephone_number": "662-741-2555",
            "fax_number": "662-741-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W MARTIN LUTHER KING ST",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629775",
            "telephone_number": "662-741-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUND BAYOU PUBLIC SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "662-741-2555",
        "authorized_official_credential": "EDS ADMINISTRATION"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MS",
            "license": "09015483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015483",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Making Moves in the Community, Incorporated
• Drahea Martin, DDS
• Cordaro Mays, NREMT-P, ASCP
• Simone Shardae Williams Moore, MD
• Yolanda Monique Morton, NCC
• Mound Bayou Public Schools
• Natural Pain Back Institute, LLC
• Nevaeh Hospice
• New Horizons Wellness, LLC
• North Bolivar Consolidated School District

• Hearing and Speech Clinic/Center in Mound Bayou, MS
• Providers in Mound Bayou, MS by specialty
• Hearing and Speech Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.