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LUCEDALE INTERMEDIATE SCHOOL
NPI 1790116838
Student in an Organized Health Care Education/Training Program in Lucedale, MS

Active since November 27, 2013
159 MABLE ST, LUCEDALE, MS 39452(601) 947-6065(601) 947-6127 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lucedale Intermediate School NPPES

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

LUCEDALE INTERMEDIATE SCHOOL (NPI 1790116838) is a healthcare organization registered as a student in an organized health care education/training program in Lucedale, Mississippi and active in the NPI registry since November 2013. The organization lists Jodi Theresa Sumrall, School Nurse, as its authorized official.

NPPES Registry Identity

NPI1790116838
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameLUCEDALE INTERMEDIATE SCHOOL
Location Address159 MABLE STLucedale, MS 39452-5821
Mailing Address159 Mable StLucedale, MS 39452-5821 · (601) 947-6065 · Fax (601) 947-6127
Phone(601) 947-6065
Fax(601) 947-6127
Organization SubpartNo
Authorized OfficialJodi Theresa SumrallSchool Nurse · (601) 947-6993
Enumeration DateNovember 27, 2013
✔ NPI 1790116838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MS · R872149
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
159 MABLE ST, Lucedale, MS 39452
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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

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

COASTAL FAMILY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
159 MABLE ST
LUCEDALE, MS 39452
George County (228) 374-2494

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 Lucedale Intermediate School's NPI number?

The NPI number for Lucedale Intermediate School is 1790116838. It was assigned to this organization in the NPPES registry on November 27, 2013.

Where is Lucedale Intermediate School located?

Lucedale Intermediate School is located at 159 Mable St, Lucedale, MS 39452. The listed phone number is (601) 947-6065.

What is Lucedale Intermediate School's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lucedale Intermediate School was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.