OrganizationActive
West Bolivar Elementary
NPI 1003986993 · Public Health or Welfare Agency · Rosedale, MS
Provider details
- NPI number
- 1003986993
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Henry Phillips, Superintendent(662) 759-3525
- License
- R865655 (MS)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1212 South Main Street
Rosedale, MS 38769-0429
Phone: (662) 759-3823
Fax: (662) 759-0027
Approximate (ZIP-level) locationGet directions
Mailing address
1212 South Main Street
Rosedale, MS 38769-0429
Other names (DBA / former)
- Doing business as
- West Bolivar Well Child Clinic
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.