ELLISVILLE STATE SCHOOL
NPI 1568468080
Clinic/Center in Ellisville, MS

NPI Status: Active since June 21, 2005

Contact Information

1101 HWY 11 S
ELLISVILLE, MS
ZIP 39437
Phone: (601) 477-9384
Fax: (601) 477-5700

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  • Organization
  • Clinic/Center

About ELLISVILLE STATE SCHOOL

This page provides the complete NPI Profile along with additional information for Ellisville State School, a provider established in Ellisville, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1568468080 assigned on June 2005. The practitioner's primary taxonomy code is 261Q00000X with license number C00638 (MS). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Suzie Lassiter (Director)

NPI
1568468080
Provider Name
ELLISVILLE STATE SCHOOL
Entity Type
Organization
Location Address
1101 HWY 11 S ELLISVILLE, MS 39437
Location Phone
(601) 477-9384
Location Fax
(601) 477-5700
Mailing Address
1101 HWY 11 S ELLISVILLE, MS 39437
Mailing Phone
(601) 477-9384
Mailing Fax
(601) 477-5700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
C00638
License State
MS
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SUZIE LASSITER

Authorized Official Title
DIRECTOR
Authorized Official Phone
(601) 477-9384

Reviews for ELLISVILLE STATE SCHOOL

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568468080, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 8 + 6 + 1 + 6 + 0 + 1 + 6 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1568468080.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Intermediate Care Facility, Intellectual Disabilities
1101 HWY 11 S
ELLISVILLE, MS 39437
Nurse Practitioner (Family)
1101 HWY 11 S
ELLISVILLE, MS 39437
Intermediate Care Facility, Intellectual Disabilities
1101 HWY 11 S
ELLISVILLE, MS 39437

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568468080, enumerated as an "organization" on June 21, 2005.

The provider is located at 1101 HWY 11 S ELLISVILLE, MS 39437 and the phone number is (601) 477-9384.

Clinic/Center with taxonomy code 261Q00000X.