# SOUTH PIKE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Osyka Elementary Children's Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770705170
- **Authorized official:** DR. BILL GUNNELL (DISTRICT SUPERINTENDENT)
- **Authorized official phone:** (601) 783-3742

## Contact information

- **Practice address:** 444 AMITE STREET, OSYKA, MS 39657
- **Practice address phone:** (601) 542-3354
- **Mailing address:** 444 AMITE STREET, OSYKA, MS 39657
- **Mailing address phone:** (601) 542-3354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WS0200X | School Registered Nurse | R868937 | MS | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020