Ellisville State School in Ellisville - Technician
Ellisville State School - NPI 1164582821
Ellisville State School is a Technician in Ellisville, Mississippi. Ellisville State School practices all healthcare services and medical treatments related to Technician. The NPI Number for Ellisville State School is 1164582821. The last update date is 2008-06-17.
Ellisville State School's current location address is 1101 Highway 11 S, Ellisville, Mississippi. You can contact this provider via phone number 6014779384 and fax number 6014775700. The mailing address for Ellisville State School is 1101 Highway 11 S, Ellisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ellisville State School |
|---|---|
| Address | 1101 Highway 11 S, Ellisville, Mississippi |
| Phone Number | 6014779384 |
| Fax Number | 6014775700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Lassiter Suzie |
| Telephone Number | 6014779384 |
NPI Number Detail
| NPI Number | 1164582821 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 1101 Highway 11 S |
|---|---|
| City | Ellisville |
| State | Mississippi (MS) |
| Post Code | 394374443 |
| Phone Number | 6014779384 |
| Fax Number | 6014775700 |
Provider's Primary Taxonomy Detail
| Speciality | Technician |
|---|---|
| Taxonomy | 374700000X |
| Licence No | ESS-BMR |
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Definition: (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9015542 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ellisville State School by the Centers for Medicare & Medicaid Services?
The Ellisville State School has been issued the NPI (National Provider Identifier) 1164582821, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ellisville State School?
The Ellisville State School is physically situated at 1101 Highway 11 S, in the city of Ellisville, state of MS, with the postal code 394374443.
What is Ellisville State School's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ellisville State School is Technician, and the taxonomy classification code that categorizes this area of expertise is 374700000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164582821 to Ellisville State School?
The Centers for Medicare & Medicaid Services originally issued the 1164582821 to Ellisville State School on 2006-12-11.
When was the information pertaining to Ellisville State School most recently updated or revised?
The details related to Ellisville State School, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-17.
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