Provider Demographics
NPI:1578634127
Name:JONES COUNTY SCHOOL
Entity Type:Organization
Organization Name:JONES COUNTY SCHOOL
Other - Org Name:GLADE ELEMENTARY SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-649-5201
Mailing Address - Street 1:990 HIGHWAY 15 S
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39443-0801
Mailing Address - Country:US
Mailing Address - Phone:601-428-0855
Mailing Address - Fax:601-428-1165
Practice Address - Street 1:990 HIGHWAY 15 S
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39443-0801
Practice Address - Country:US
Practice Address - Phone:601-428-0855
Practice Address - Fax:601-428-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS84601261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS01021563Medicaid