Healthcare Provider Details

I. General information

NPI: 1275745432
Provider Name (Legal Business Name): HINDS COUNTY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 09/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 PALESTINE ROAD
RAYMOND MS
39154
US

IV. Provider business mailing address

13192 HWY 18
RAYMOND MS
39154
US

V. Phone/Fax

Practice location:
  • Phone: 601-857-2108
  • Fax: 601-857-4156
Mailing address:
  • Phone: 601-857-0213
  • Fax: 601-857-8548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberR867334
License Number StateMS

VIII. Authorized Official

Name: STEPHEN HANDLEY
Title or Position: SUPERINTENDENT
Credential:
Phone: 601-857-5222