NPIMap

Organization Active NPI

West Bolivar School District

Doing business as West Bolivar Middle School

  • Public Health or Welfare Agency
  • Rosedale, MS
National Provider Identifier
1912057704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
R865655 Issued in MS
Legal business name
WEST BOLIVAR SCHOOL DISTRICT
Doing business as
West Bolivar Middle School
Practice address
1212 South Main Street
Rosedale, MS 38769-0159
Phone
(662) 759-3743
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Henry Phillips
Title
Superintendent
Phone
(662) 759-3525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X R865655 MS Primary

Addresses

Primary practice location

1212 South Main Street
Rosedale, MS 38769-0159

Mailing address

1212 South Main Street
P.O. Box 159
Rosedale, MS 38769-0159
Phone (662) 759-3743

Other identifiers 1

IdentifierTypeStateIssuer
06156308MedicaidMS

Other names 1

  • West Bolivar Middle School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Bolivar Elementary3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912057704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SOUTH MAIN STREET",
            "address_2": "P.O. BOX 159",
            "city": "ROSEDALE",
            "state": "MS",
            "postal_code": "387690159",
            "telephone_number": "662-759-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SOUTH MAIN STREET",
            "city": "ROSEDALE",
            "state": "MS",
            "postal_code": "387690159",
            "telephone_number": "662-759-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BOLIVAR SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "662-759-3525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MS",
            "license": "R865655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06156308",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Bolivar Middle School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.