Provider Demographics
NPI:1851566640
Name:LAMAR COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LAMAR COUNTY SCHOOL DISTRICT
Other - Org Name:SUMRALL ELEMENTARY SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-794-1030
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:PURVIS
Mailing Address - State:MS
Mailing Address - Zip Code:39475-0609
Mailing Address - Country:US
Mailing Address - Phone:601-794-1030
Mailing Address - Fax:601-794-1012
Practice Address - Street 1:198 TODD RD
Practice Address - Street 2:
Practice Address - City:SUMRALL
Practice Address - State:MS
Practice Address - Zip Code:39482-5460
Practice Address - Country:US
Practice Address - Phone:601-758-4289
Practice Address - Fax:601-758-4203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR870939163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty