East Tallahatchie Schools

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R855475 Issued in MS

Legal business name

EAST TALLAHATCHIE SCHOOLS

Practice address

35 Oak Grove Road
Charleston, MS 38921

Phone

(662) 647-5490

Fax

(662) 647-2113

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William H. Tribble

Title

Superintendent

Phone

(662) 647-5524

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962617530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT ST",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "389211701",
            "telephone_number": "662-647-5524",
            "fax_number": "662-647-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 OAK GROVE ROAD",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "38921",
            "telephone_number": "662-647-5490",
            "fax_number": "662-647-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TALLAHATCHIE SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIBBLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "662-647-5524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R855475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01535361",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Charleston, MS
• School Registered Nurse in Mississippi

• 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.