| Purvis Upper Elementary School | |
|
310 Mitchell Ave Purvis MS 39475-4058 | |
| (601) 794-2959 | |
| (601) 796-9437 |
| Full Name | Purvis Upper Elementary School |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Mitchell Ave, Purvis, Mississippi |
| Authorized Official Name and Position | Janice Robinson (CEO) |
| Authorized Official Contact | 6015458700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purvis Upper Elementary School Po Box 1729 Hattiesburg MS 39403-1729 Ph: (601) 545-8700 | Purvis Upper Elementary School 310 Mitchell Ave Purvis MS 39475-4058 Ph: (601) 794-2959 |
| NPI Number | 1881268068 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 02/05/2026 |
| Medicare PECOS PAC ID | 2466342605 |
|---|---|
| Medicare Enrollment ID | O20221109002533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881268068 | NPI | - | NPPES |
| 200003328 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hattiesburg Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392 | |
Hattiesburg Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 | |
Purvis High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 School Street, Purvis, MS 39475 Phone: 601-794-6221 Fax: 601-796-9437 | |
Lamar County School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 424 Martin Luther King Dr, Purvis, MS 39475 Phone: 601-545-3700 Fax: 601-450-0231 | |
Pearl River County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Highway 589, Purvis, MS 39475 Phone: 601-242-3030 | |
Purvis Middle School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 School St, Purvis, MS 39475 Phone: 601-794-1068 Fax: 601-796-9437 |