WEST BOLIVAR ELEMENTARY (NPI# 1003986993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003986993 |
| Entity Type | Organization |
| Organization Name | WEST BOLIVAR ELEMENTARY |
| Other Organization Name | WEST BOLIVAR WELL CHILD CLINIC |
| Practice Address |
1212 South Main Street Rosedale MS 38769-0429 |
| Mailing Address |
1212 South Main Street P.o. Box 429 Rosedale MS 38769-0429 |
| Practice Telephone | 6627593823 |
| Practice Fax Number | 6627590027 |
| Mailing Telephone | 6627593823 |
| Mailing Fax Number | 6627590027 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HENRY PHILLIPS (SUPERINTENDENT) |
| Authorized Official Telephone | 6627593525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | R865655 | MS | Agencies |
| Other Name | Type Code |
|---|---|
| West Bolivar Well Child Clinic | Doing Business As Name - Organization |
| Street Address |
1212 SOUTH MAIN STREET |
| City | ROSEDALE |
| State | MS |
| Zip Code | 38769-0429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912057704 | West Bolivar School District | Public Health or Welfare | 1212 South Main Street, Rosedale, MS 38769-0159 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629270871 | Angel of Mercy Hospice | Hospice Care, Community Based | 314 S Court St, Rosedale, MS 38769 | 2007-06-01 |
| 1215068630 | Joel D Gibson | Dentist | 512 Levee St, Rosedale, MS 38769 | 2007-03-08 |
| 1477575561 | Brooke Nicole Tims | Nurse Practitioner | 512 Levee Street, Rosedale, MS 38769 | 2006-07-24 |
| 1144548645 | Joy's Loving Care Adult Daycare Center | Day Training, Developmentally Disabled Services | 906 Main Street, Rosedale, MS 38769 | 2010-05-07 |
| 1154651040 | West Bolivar School District | Local Education Agency (LEA) | Highways 1 & 8, Rosedale, MS 38769-0189 | 2009-12-28 |
| 1720377641 | Leigh Bostick Womble | Nurse Practitioner | 512 Levee Street, Box 310, Rosedale, MS 38769-0310 | 2011-03-31 |
| 1043223340 | Rosedale Family Medical Center, P.C. | Family Medicine | 512 Levee St., Rosedale, MS 38769-0310 | 2006-08-15 |
| 1073536132 | John William Lewis Jr. | Family Medicine | 512 Levee Street, Rosedale, MS 38769-0310 | 2006-07-26 |
| 1205489689 | Bolivar Physician Practices LLC | Clinic/Center | 512 Levee St, Rosedale, MS 38769-5507 | 2019-07-24 |
| 1407991557 | Lewis Drug Store LLC | Pharmacy | 302 Court St, Rosedale, MS 38769-5509 | 2007-02-20 |
| Find all providers in zip 38769 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437560315 | Mississippi State Department of Health | Public Health or Welfare | 1006 Martin Luther King Drive, Rosedale, MS 38769-7000 | 2014-05-14 |
| 1003042045 | Baltimore County Department of Health | Public Health or Welfare | 9100 Franklin Square Dr, Rosedale, MD 21237-3903 | 2009-06-04 |
| 1245385434 | Baltimore County Department of Health | Public Health or Welfare | 9100 Franklin Square Dr, Rosedale, MD 21237-3903 | 2007-01-25 |
| 1912057704 | West Bolivar School District | Public Health or Welfare | 1212 South Main Street, Rosedale, MS 38769-0159 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024747 | Second Chance Outreach Learning Center | Public Health or Welfare | 4807 N State St Ste 407, Jackson, MS 39206-4826 | 2020-02-07 |
| 1184152233 | Tier-3 Solutions, Inc. | Public Health or Welfare | 5255 Keele St Ste C, Jackson, MS 39206-4381 | 2017-06-01 |
| 1609262955 | South Mississippi Aids Task Force, Inc. | Public Health or Welfare | 2756 Fernwood Rd, Biloxi, MS 39531-3520 | 2015-04-14 |
| 1750786158 | Mississippi Department Health | Public Health or Welfare | 1141 Bayview Ave Ste 102, Biloxi, MS 39530-1651 | 2014-10-28 |
| 1316358914 | Mississippi State Department of Health | Public Health or Welfare | 110 Cross Park Dr, Suite C, Pearl, MS 39208-9016 | 2014-05-16 |
| 1265843809 | Mississippi State Department | Public Health or Welfare | 209 S Pleasant St, Charleston, MS 38921-2325 | 2014-05-16 |
| 1366853004 | Mississippi State Department of Health | Public Health or Welfare | 3276 Lynch St, Jackson, MS 39209-7205 | 2014-05-15 |
| 1952712630 | Mississippi State Department of Health | Public Health or Welfare | 140 W Mill Road, Bude, MS 39630-7036 | 2014-05-15 |
| 1285045955 | Mississippi State Department of Health | Public Health or Welfare | 7547 Highway 11, Carriere, MS 39426-8904 | 2014-05-15 |
| 1972914653 | Mississippi State Department of Health | Public Health or Welfare | 1000 Irene Street, Liberty, MS 39645-5193 | 2014-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.