Provider Demographics
NPI:1417740580
Name:ESSENTIAL SCHOOL BASED HEALTH CLINIC
Entity type:Organization
Organization Name:ESSENTIAL SCHOOL BASED HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:F
Authorized Official - Last Name:MURRY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, DNP-C
Authorized Official - Phone:662-449-6570
Mailing Address - Street 1:PO BOX 16
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38769-0016
Mailing Address - Country:US
Mailing Address - Phone:662-449-6570
Mailing Address - Fax:662-510-8586
Practice Address - Street 1:909 HIGHWAY 8
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MS
Practice Address - Zip Code:38769-2300
Practice Address - Country:US
Practice Address - Phone:662-449-6570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center