Provider Demographics
NPI:1003023672
Name:PERRY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PERRY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:KOONTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:580-336-4511
Mailing Address - Street 1:900 FIR ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:OK
Mailing Address - Zip Code:73077-5051
Mailing Address - Country:US
Mailing Address - Phone:580-336-4511
Mailing Address - Fax:580-336-5185
Practice Address - Street 1:900 FIR ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:OK
Practice Address - Zip Code:73077-5051
Practice Address - Country:US
Practice Address - Phone:580-336-4511
Practice Address - Fax:580-336-5185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)