Benndale Elementary School

Organization Active NPI Student in an Organized Health Care Education/Training Program · Lucedale, MS

NPI 1376973057 · NPPES record last updated Nov 18, 2013

Key facts

NPI
1376973057
Entity type
Organization (NPI type 2)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
R872149 (MS)
Legal business name
BENNDALE ELEMENTARY SCHOOL
Practice address
5204 Highway 26 W
Lucedale, MS 39452-2383
Phone
(601) 766-6341
Fax
(601) 945-2938
NPI assigned
Nov 18, 2013
Organization subpart
No

Authorized official

Name
Mrs. Jodi Theresa Sumrall, RN, ADN
Title
School Nurse
Phone
(601) 947-6993

Corporate family (same tax ID) 6

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

National Provider Directory

Tax ID family
George County School District (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program
Group: 193400000X SINGLE SPECIALTY GROUP
390200000X R872149 MS Yes

Addresses

Primary practice location

5204 Highway 26 W
Lucedale, MS 39452-2383

Mailing address

5204 Highway 26 W
Lucedale, MS 39452-2383
Phone (601) 766-6341

Other providers in Lucedale, MS

All providers in Lucedale, MS · Student in an Organized Health Care Education/Training Program in Mississippi

Sources for this page

Verify at the official NPI Registry.