CENTRAL MS SCHOOL BASED HEALTH LLC.
NPI 1851623664
Nurse Practitioner - Family in Ethel, MS

Active since February 03, 2010
2268 COLLEGE STREET, ETHEL, MS 39067(662) 674-0198(662) 674-0098 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Central Ms School Based Health Llc. NPPES

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

CENTRAL MS SCHOOL BASED HEALTH LLC. (NPI 1851623664) is a healthcare organization registered as a family in Ethel, Mississippi and active in the NPI registry since February 2010. The organization lists Cynthia Johnson Dean, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1851623664
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCENTRAL MS SCHOOL BASED HEALTH LLC.
Location Address2268 COLLEGE STREETEthel, MS 39067
Mailing AddressPo Box 356Ethel, MS 39067-0356 · (662) 674-0198 · Fax (662) 674-0098
Fax(662) 674-0098
Organization SubpartNo
Authorized OfficialCynthia Johnson DeanProvider/owner · (662) 674-0198
Enumeration DateFebruary 3, 2010
NPI 1851623664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R853619
2268 COLLEGE STREET, Ethel, MS 39067

Other Identifiers 2

Medicare UPINQ04131MS
Medicaid00255854MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Central Ms School Based Health LLC.'s NPI number?

The NPI number for Central Ms School Based Health LLC. is 1851623664. It was assigned to this organization in the NPPES registry on February 3, 2010.

Where is Central Ms School Based Health LLC. located?

Central Ms School Based Health LLC. is located at 2268 College Street, Ethel, MS 39067. The listed phone number is (662) 674-0198.

What is Central Ms School Based Health LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Central Ms School Based Health LLC. was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.