North Bolivar School District

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

R856346 Issued in MS

Legal business name

NORTH BOLIVAR SCHOOL DISTRICT

Doing business as

Epsdt Screening

Practice address

615 School Street
Duncan, MS 38740

Phone

(662) 398-4060

Fax

(662) 395-2247

NPI assigned

Jan 4, 2008

Last updated

Mar 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jesse King

Title

Superintendent

Phone

(662) 398-4000

Specialties & licenses 1

Addresses

Other names 1

• EPSDT SCREENING Doing business as

Locations

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1063697340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LAUDERDALE STREET",
            "city": "SHELBY",
            "state": "MS",
            "postal_code": "38774",
            "telephone_number": "662-398-4000",
            "fax_number": "662-398-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SCHOOL STREET",
            "city": "DUNCAN",
            "state": "MS",
            "postal_code": "38740",
            "telephone_number": "662-398-4060",
            "fax_number": "662-395-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BOLIVAR SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "662-398-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MS",
            "license": "R856346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPSDT SCREENING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Duncan Nursing and Rehabilitation
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• Oak Grove Retirement Opco LLC (Oak Grove Retirement Home)

• Nursing Facility/Intermediate Care Facility in Duncan, MS
• Providers in Duncan, MS by specialty
• Nursing Facility/Intermediate Care Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.