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OrganizationActive

Ellisville State School

Clinic/Center

SUZIE LASSITER
NPI: 1568468080Ellisville, Mississippi, 39437(601) 477-9384

About Ellisville State School

Ellisville State School is a healthcare organization providing Clinic/Center services, registered under National Provider Identifier (NPI) number 1568468080. The authorized official for Ellisville State School is SUZIE LASSITER.

The organization is headquartered at 1101 HWY 11 S, Ellisville, Mississippi 39437. The main office can be reached at (601) 477-9384. Ellisville State School has been NPI-registered since 2005.

Locations & Contact

Primary Location

Address
1101 HWY 11 S
City
Ellisville
State
Mississippi
ZIP
39437-4444
Phone
(601) 477-9384
Fax
(601) 477-5700
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Authorized Official

Name
SUZIE LASSITER

Mailing Address

Address
1101 HWY 11 S
City
ELLISVILLE
State
MS
ZIP
394374444

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Clinic/Center
Classification
Clinic/Center
Taxonomy Code
261Q00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Ellisville State School's NPI number?
Ellisville State School's National Provider Identifier (NPI) is 1568468080. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Ellisville State School specialize in?
Ellisville State School specializes in Clinic/Center.
Where is Ellisville State School located?
Ellisville State School practices at 1101 HWY 11 S, Ellisville, Mississippi 39437. You can reach them by phone at (601) 477-9384.
Does Ellisville State School accept Medicare?
Based on available data, Ellisville State School is not currently enrolled in the Medicare program.
Does Ellisville State School offer telehealth or virtual visits?
Ellisville State School does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Ellisville State School holds NPI 1568468080, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.