NPIMap

Organization Active NPI

Lamar County School District

  • Student Health Clinic/Center
  • Hattiesburg, MS
National Provider Identifier
1821495623
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
876971 Issued in MS
Legal business name
LAMAR COUNTY SCHOOL DISTRICT
Practice address
5279 W 4TH St
Hattiesburg, MS 39402-9700
Phone
(601) 264-3858
NPI assigned
Nov 24, 2014
Last updated
Feb 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Mrs. Tess Smith
Title
Superintendent
Phone
(601) 794-1030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 876971 MS Primary
School Registered Nurse 163WS0200X R888519 MS

Addresses

Primary practice location

5279 W 4TH St
Hattiesburg, MS 39402-9700

Mailing address

424 Martin Luther King Dr
Purvis, MS 39475-5028
Phone (601) 794-1030

Other identifiers 1

IdentifierTypeStateIssuer
07736068MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Lamar County School District19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

5279 W 4th St
Hattiesburg, MS 39402
Phone (601) 264-3858

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1821495623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MARTIN LUTHER KING DR",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394755028",
            "telephone_number": "601-794-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5279 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394029700",
            "telephone_number": "601-264-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR COUNTY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TESS",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "601-794-1030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MS",
            "license": "876971",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R888519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07736068",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.