Provider Demographics
NPI:1093873192
Name:UNION PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:UNION PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:PENELOPE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:918-357-6128
Mailing Address - Street 1:8506 E 61ST STREET
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1926
Mailing Address - Country:US
Mailing Address - Phone:918-357-6125
Mailing Address - Fax:918-357-6138
Practice Address - Street 1:8506 E 61ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-1926
Practice Address - Country:US
Practice Address - Phone:918-357-6128
Practice Address - Fax:918-357-6117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK251K00000XMedicaid