# POPLARVILLE SPECIAL SEPARATE MUNICIPAL SCHOOL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Poplarville Lower Elementary EPSDT Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740495373
- **Authorized official:** MRS. LOUISE SMITH (SUPPORT STAFF SPECIALIST)
- **Authorized official phone:** (601) 795-8477

## Contact information

- **Practice address:** 804 S JULIA ST, POPLARVILLE, MS 39470-3017
- **Practice address phone:** (601) 795-8477
- **Practice address fax:** (601) 795-0712
- **Mailing address:** 804 S JULIA ST, POPLARVILLE, MS 39470-3017
- **Mailing address phone:** (601) 795-8477
- **Mailing address fax:** (601) 795-0712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WS0200X | School Registered Nurse | R859077 | MS | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 08/22/2020