Provider Demographics
NPI:1033251525
Name:BRYAN COUNTY SCHOOL DISTRICT I5
Entity Type:Organization
Organization Name:BRYAN COUNTY SCHOOL DISTRICT I5
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:B
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-367-2208
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:CADDO
Mailing Address - State:OK
Mailing Address - Zip Code:74729-0128
Mailing Address - Country:US
Mailing Address - Phone:580-367-2208
Mailing Address - Fax:580-367-2837
Practice Address - Street 1:600 S MCPHERON
Practice Address - Street 2:
Practice Address - City:CADDO
Practice Address - State:OK
Practice Address - Zip Code:74729-0128
Practice Address - Country:US
Practice Address - Phone:580-367-2208
Practice Address - Fax:580-367-2837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)