WEST BOLIVAR MIDDLE SCHOOL
NPI 1912057704
Public Health or Welfare in Rosedale, MS

Active since January 12, 2007CLIA 25D2224034 · Waiver
1212 SOUTH MAIN STREET, ROSEDALE, MS 38769(662) 759-3743 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Bolivar Middle School NPPES

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

WEST BOLIVAR MIDDLE SCHOOL (NPI 1912057704) is a healthcare organization registered as a public health or welfare in Rosedale, Mississippi and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Henry Phillips, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1912057704
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameWEST BOLIVAR SCHOOL DISTRICT
Location Address1212 SOUTH MAIN STREETRosedale, MS 38769-0159
Mailing Address1212 South Main Street, P.o. Box 159Rosedale, MS 38769-0159 · (662) 759-3743
Organization SubpartNo
Authorized OfficialHenry PhillipsSuperintendent · (662) 759-3525
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1912057704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License Licensed in MS · R865655
1212 SOUTH MAIN STREET, Rosedale, MS 38769

Other Names 1

Doing Business AsWest Bolivar Middle School

Other Identifiers 1

Medicaid06156308MS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2224034

West Bolivar High School · Rosedale, MS
Active · expires May 10, 2027
CLIA Number25D2224034
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorKathy A. Jones
Laboratory Phone(662) 719-3743
Laboratory LocationWest Bolivar High School1212 South Main St, Rosedale, MS 38769
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Public Health or Welfare
1212 SOUTH MAIN STREET
ROSEDALE, MS 38769

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 West Bolivar School District's NPI number?

The NPI number for West Bolivar School District is 1912057704. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as West Bolivar Middle School.

Where is West Bolivar School District located?

West Bolivar School District is located at 1212 South Main Street, Rosedale, MS 38769. The listed phone number is (662) 759-3743.

What is West Bolivar School District's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does West Bolivar School District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2224034) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Bolivar School District was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.