IMANI COMMUNITY OUTREACH CTR
NPI 1669749081
Driver in Kosciusko, MS

Active since November 30, 2011
301 E JEFFERSON ST, KOSCIUSKO, MS 39090(662) 289-7676 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imani Community Outreach Ctr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMANI COMMUNITY OUTREACH CTR (NPI 1669749081) is a healthcare organization registered as a driver in Kosciusko, Mississippi and active in the NPI registry since November 2011. The organization lists Tricia B Duncan, Biller, as its authorized official.

NPPES Registry Identity

NPI1669749081
Entity TypeOrganization
Primary Taxonomy172A00000X
Legal Business NameIMANI COMMUNITY OUTREACH CTR
Location Address301 E JEFFERSON STKosciusko, MS 39090-3719
Mailing Address301 E Jefferson StKosciusko, MS 39090-3719 · (662) 289-7676
Organization SubpartNo
Authorized OfficialTricia B DuncanBiller · (601) 878-6945
Enumeration DateNovember 30, 2011
Last NPPES UpdateMarch 12, 2012
NPI 1669749081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
301 E JEFFERSON ST, Kosciusko, MS 39090

Other Identifiers 1

Medicaid00686258MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Private Vehicle
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Homemaker
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Preferred Provider Organization
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Social Worker
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Occupational Therapist
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Home Health
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Physical Therapist
301 E JEFFERSON ST
KOSCIUSKO, MS 39090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imani Community Outreach Ctr's NPI number?

The NPI number for Imani Community Outreach Ctr is 1669749081. It was assigned to this organization in the NPPES registry on November 30, 2011.

Where is Imani Community Outreach Ctr located?

Imani Community Outreach Ctr is located at 301 E Jefferson St, Kosciusko, MS 39090. The listed phone number is (662) 289-7676.

What is Imani Community Outreach Ctr's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Imani Community Outreach Ctr was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.