Amite County School District

Organization Active NPI School Registered Nurse · Liberty, MS

NPI 1265646145 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1265646145
Entity type
Organization (NPI type 2)
Primary specialty
School Registered Nurse 163WS0200X
License
R600318 (MS)
Legal business name
AMITE COUNTY SCHOOL DISTRICT
Practice address
3457 S. Greensburg Rd.
Liberty, MS 39645
Phone
(601) 657-4959
Fax
(601) 657-4959
NPI assigned
May 9, 2007
Organization subpart
No

Authorized official

Name
Mr. Charles E Kirkfield
Title
Superintendent of Education
Phone
(601) 657-4361

Corporate family (same tax ID) 2

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

National Provider Directory

Tax ID family
Amite County School District (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163WS0200X R600318 MS Yes

Addresses

Primary practice location

3457 S. Greensburg Rd.
Liberty, MS 39645

Mailing address

P.O. Box 378
Liberty, MS 39645
Phone (601) 657-4361

Other identifiers

IdentifierTypeStateIssuer
09287093MedicaidMS

Other providers in Liberty, MS

All providers in Liberty, MS · School Registered Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.