Provider Demographics
NPI:1336294529
Name:CORINTH SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CORINTH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDRESS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:662-287-2425
Mailing Address - Street 1:1204 N HARPER RD
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-4500
Mailing Address - Country:US
Mailing Address - Phone:662-287-2425
Mailing Address - Fax:662-286-1885
Practice Address - Street 1:200 WENASOGA RD
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-4634
Practice Address - Country:US
Practice Address - Phone:662-286-2348
Practice Address - Fax:662-286-1885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR857078163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07452844Medicare ID - Type UnspecifiedEPSDT PROVIDER NUMBER