Provider Demographics
NPI:1093098840
Name:GORE PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:GORE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:LEE ANN
Authorized Official - Last Name:SITTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:918-489-5638
Mailing Address - Street 1:1200 NORTH HIGHWAY 10
Mailing Address - Street 2:GORE PUBLIC SCHOOLS
Mailing Address - City:GORE
Mailing Address - State:OK
Mailing Address - Zip Code:74435-5148
Mailing Address - Country:US
Mailing Address - Phone:918-489-5638
Mailing Address - Fax:918-489-2465
Practice Address - Street 1:1200 NORTH HIGHWAY 10
Practice Address - Street 2:GORE PUBLIC SCHOOLS
Practice Address - City:GORE
Practice Address - State:OK
Practice Address - Zip Code:74435-5148
Practice Address - Country:US
Practice Address - Phone:918-489-5638
Practice Address - Fax:918-489-2465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty