LUCEDALE INTERMEDIATE SCHOOL
NPI 1790116838
Student in an Organized Health Care Education/Training Program in Lucedale, MS
NPI Status: Active since November 27, 2013
Contact Information
159 MABLE ST
LUCEDALE, MS
ZIP 39452
Phone: (601) 947-6065
Fax: (601) 947-6127
- Organization
- Student in an Organized Health Care Educ...
- CLIA Number: 25D2279015
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 03-27-2027
About LUCEDALE INTERMEDIATE SCHOOL
This page provides the complete NPI Profile along with additional information for Lucedale Intermediate School, a primary care provider established in Lucedale, Mississippi operating as a Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1790116838 assigned on November 2013. The practitioner's primary taxonomy code is 390200000X with license number R872149 (MS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Jodi Theresa Sumrall Rn, Adn (School Nurse)
- NPI
- 1790116838
- Provider Name
- LUCEDALE INTERMEDIATE SCHOOL
- Entity Type
- Organization
- Location Address
- 159 MABLE ST LUCEDALE, MS 39452
- Location Phone
- (601) 947-6065
- Location Fax
- (601) 947-6127
- Mailing Address
- 159 MABLE ST LUCEDALE, MS 39452
- Mailing Phone
- (601) 947-6065
- Mailing Fax
- (601) 947-6127
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-27-2013
- Last Update Date
- 11-27-2013
- Code Navigator
A primary care provider (PCP) like Lucedale Intermediate School sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- R872149
- License State
- MS
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2279015
- Facility Type
- Practitioner Other
- Certificate Effective Date
- March 28, 2025
- Certificate Expiration Date
- March 27, 2027
- Laboratory Director
- NORMAN M. PARNELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lucedale Intermediate School to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1790116838, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LUCEDALE, MS 39452
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790116838, enumerated as an "organization" on November 27, 2013.
The provider is located at 159 MABLE ST LUCEDALE, MS 39452 and the phone number is (601) 947-6065.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
