Organization · Type 2 NPI

Purvis Upper Elementary School

Federally Qualified Health Center (FQHC) · Purvis, MS

NPI number 1881268068 Active · reactivated Jul 8, 2022

Practice location

310 Mitchell Ave
Purvis, MS 39475-4058

Call (601) 794-2959 Map

Fax (601) 796-9437

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Lamar County School DistrictStudent Health Clinic/Center Purvis, MS NPI 1790183762
Lamar County School DistrictSchool Registered Nurse Purvis, MS NPI 1922210236

Other federally qualified health center (fqhc) providers in Purvis

See all in Purvis →

NPI record

NPI: 1881268068
Entity type: Organization (Type 2)
Issued: May 13, 2021
Last updated: Feb 5, 2026
Status: Active

Other names

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Purvis Upper Elementary School · doing business as
Purvis Upper Elementary School · doing business as

Authorized official

Janice Robinson
CEO
(601) 545-8700

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881268068

Purvis Upper Elementary School's National Provider Identifier is 1881268068, issued on May 13, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Purvis, MS. The record was last updated on Feb 5, 2026.