Provider Demographics
NPI:1801266002
Name:STARKVILLE OKTIBBEHA CONSOLIDATED SCHOOL DISTRICT
Entity type:Organization
Organization Name:STARKVILLE OKTIBBEHA CONSOLIDATED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPRERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:TORIANO
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:662-324-4050
Mailing Address - Street 1:2926 SIXTEENTH SECTION RD
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-4700
Mailing Address - Country:US
Mailing Address - Phone:662-323-1462
Mailing Address - Fax:662-324-8463
Practice Address - Street 1:2926 SIXTEENTH SECTION RD
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-4700
Practice Address - Country:US
Practice Address - Phone:662-323-1462
Practice Address - Fax:662-324-8463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR793333163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Multi-Specialty