Ellisville State School

LBN: Ellisville State School
Ellisville State School is an health care organization with primary practice located at 1101 Hwy 11 S , Ellisville MS 39437-4444. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Ellisville State School can be contacted via phone (601) 477-9384, or through Lassiter, Suzie via phone (601) 477-9384.

Contact Information

Primary practice address
1101 Hwy 11 S Ellisville MS 39437-4444
Phone: (601) 477-9384
Fax: (601) 477-5700
Website:
Map and Directions
Authorized official contact:
Name: Lassiter, Suzie
Phone: (601) 477-9384

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X C00638 Mississippi

Profile Details

NPI number 1568468080
LBN Legal business name Ellisville State School
DBA Doing business as
Authorized official Lassiter, Suzie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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