Organization
PETAL MIDDLE SCHOOL
Active
Organization
PETAL MIDDLE SCHOOL
Active
Other names
Petal Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ROBINSON CEO (CHIEF EXECUTIVE OFFICEER)
(601) 545-8700
Entity
Organization
Contact information
Practice address
203 HIGHWAY 42, PETAL, MS 39465-2864
(601) 584-6301
(601) 450-2493
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007528765
—
MS
05
—
07528765
—
MS
01
—
251012
MS MEDICARE PTAN
MS
Enumeration date
02/07/2013
Last updated
02/05/2026
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