Provider Demographics
NPI:1265646145
Name:AMITE COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:AMITE COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:KIRKFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-657-4361
Mailing Address - Street 1:P.O. BOX 378
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MS
Mailing Address - Zip Code:39645
Mailing Address - Country:US
Mailing Address - Phone:601-657-4361
Mailing Address - Fax:601-657-4291
Practice Address - Street 1:3457 S. GREENSBURG RD.
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MS
Practice Address - Zip Code:39645
Practice Address - Country:US
Practice Address - Phone:601-657-4959
Practice Address - Fax:601-657-4959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR600318163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09287093Medicaid