Active NPI
West Amory Elementary School
- Nursing Care Agency
- Amory, MS
National Provider Identifier
1801088208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- R853749
- Legal business name
- WEST AMORY ELEMENTARY SCHOOL
- Practice address
- 704 111TH St
Amory, MS 38821 - Phone
- (662) 256-2601
- Fax
- (662) 256-1643
- NPI assigned
- Aug 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sarah L Hodo, R.N
- Title
- Health and Safety Coordinator
- Phone
- (662) 256-2601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | R853749 | MS | Primary |
Addresses
Primary practice location
704 111TH St
Amory, MS 38821
Mailing address
704 111TH St
Amory, MS 38821-2914
Phone (662) 256-2601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04683031 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Amory Middle School
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Amory, MS
- NPI 1720279482
-
- Registered Nurse
- Amory, MS
- NPI 1952517252
Locations
704 111th St
Amory, MS 38821
Phone (662) 256-2601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186704000000",
"number": "1801088208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 111TH ST",
"city": "AMORY",
"state": "MS",
"postal_code": "388212914",
"telephone_number": "662-256-2601",
"fax_number": "662-256-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 111TH ST",
"city": "AMORY",
"state": "MS",
"postal_code": "38821",
"telephone_number": "662-256-2601",
"fax_number": "662-256-1643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST AMORY ELEMENTARY SCHOOL",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-10",
"last_updated": "2007-08-10",
"status": "A",
"authorized_official_last_name": "HODO",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "HEALTH AND SAFETY COORDINATOR",
"authorized_official_telephone_number": "662-256-2601",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MS",
"license": "R853749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04683031",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amory, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.