Provider Demographics
NPI:1669592465
Name:LAUDERDALE COUNTY SCHOOLS
Entity type:Organization
Organization Name:LAUDERDALE COUNTY SCHOOLS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-485-4882
Mailing Address - Street 1:6750 NEWELL RD
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-9616
Mailing Address - Country:US
Mailing Address - Phone:601-425-4228
Mailing Address - Fax:601-481-3455
Practice Address - Street 1:6750 NEWELL RD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-9616
Practice Address - Country:US
Practice Address - Phone:601-425-4882
Practice Address - Fax:601-481-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR603678163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09016080Medicaid