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Oak Grove Elementary School — NPI 1194122994, Hattiesburg, MS | NPI Central

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NPI 1194122994

OrganizationActive

Oak Grove Elementary School

NPI 1194122994 · Student Health Clinic/Center · Hattiesburg, MS

Provider details

NPI number: 1194122994
Entity type: Organization
Primary specialty: Student Health Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Steven Hampton, Superintendent of Education(601) 794-1030
License: R888519 (MS)

Specialties & taxonomies

Student Health Clinic/CenterPrimary261QS1000XLicense 876971 (MS)
Ambulatory Health Care Facilities
School Registered Nurse163WS0200XLicense R888519 (MS)
Nursing Service Providers

Practice location

70 Leaf Ln

Hattiesburg, MS 39402-9549

Phone: (601) 264-9764

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

424 Martin Luther King Dr

Purvis, MS 39475-5028

Other names (DBA / former)

Former legal business name: Oak Grove Primary School

Registry dates

Enumerated: 2014-11-24
Last updated: 2022-10-27
Certified: 2022-10-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.