NPIMap

Organization Active NPI

Claiborne County School

Doing business as Port Gibson Middle School

  • Student Health Clinic/Center
  • Port Gibson, MS
National Provider Identifier
1164757142
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
02382394 Issued in MS
Legal business name
CLAIBORNE COUNTY SCHOOL
Doing business as
Port Gibson Middle School
Practice address
161 Ramsey Dr
Port Gibson, MS 39150-2531
Phone
(601) 437-4251
NPI assigned
Oct 9, 2009
Last updated
Oct 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Dr. Annie Kilcrease, PH D
Title
Superintendent of Education
Phone
(601) 437-4232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 02382394 MS Primary

Addresses

Primary practice location

161 Ramsey Dr
Port Gibson, MS 39150-2531

Mailing address

404 Market St
Port Gibson, MS 39150-2025
Phone (601) 437-4232

Other identifiers 1

IdentifierTypeStateIssuer
02382394MedicaidMS

Other names 1

  • Port Gibson Middle School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Claiborne County School District4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1164757142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MARKET ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502025",
            "telephone_number": "601-437-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 RAMSEY DR",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502531",
            "telephone_number": "601-437-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE COUNTY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "KILCREASE",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "SUPERINTENDENT OF EDUCATION",
        "authorized_official_telephone_number": "601-437-4232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MS",
            "license": "02382394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382394",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Gibson Middle School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Gibson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.