Provider Demographics
NPI:1497073191
Name:DURANT PUBLIC SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DURANT PUBLIC SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLISLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-653-3176
Mailing Address - Street 1:65 WEST MADISON STREET
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:MS
Mailing Address - Zip Code:39063
Mailing Address - Country:US
Mailing Address - Phone:662-653-3175
Mailing Address - Fax:662-653-0284
Practice Address - Street 1:65 WEST MADISON STREET
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:MS
Practice Address - Zip Code:39063
Practice Address - Country:US
Practice Address - Phone:662-653-0284
Practice Address - Fax:662-653-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSLEA25130000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)