Provider Demographics
NPI:1497053904
Name:CLEVELAND SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CLEVELAND SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:THIGPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-843-3529
Mailing Address - Street 1:305 MERRITT DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-2247
Mailing Address - Country:US
Mailing Address - Phone:662-843-3529
Mailing Address - Fax:662-843-9731
Practice Address - Street 1:305 MERRITT DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-2247
Practice Address - Country:US
Practice Address - Phone:662-843-3529
Practice Address - Fax:662-843-9731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health