Provider Demographics
NPI:1700095148
Name:JONES COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:JONES COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:PRINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-649-5201
Mailing Address - Street 1:5204 HIGHWAY 11 N
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39437-5072
Mailing Address - Country:US
Mailing Address - Phone:601-649-5201
Mailing Address - Fax:601-649-1613
Practice Address - Street 1:108 NORTHEAST DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39443-8315
Practice Address - Country:US
Practice Address - Phone:601-425-9799
Practice Address - Fax:601-425-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR872610163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06282236Medicaid