Organization · Type 2 NPI
Oak Grove Elementary School
Student Health Clinic/Center · Hattiesburg, MS
NPI number
1194122994
Active
Practice location
70 Leaf Ln
Hattiesburg, MS 39402-9549
Mailing address
424 Martin Luther King Dr
Purvis, MS 39475-5028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse | 163WS0200X | R888519 (MS) |
| Student Health Clinic/Center Primary | 261QS1000X | 876971 (MS) |
Student Health Clinic/Center: Definition to come...
3 other providers at this address
Other student health clinic/center providers in Hattiesburg
About NPI 1194122994
Oak Grove Elementary School's National Provider Identifier is 1194122994, issued on Nov 24, 2014. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 27, 2022.