Provider Demographics
NPI:1235208562
Name:PURCELL PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:PURCELL PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:405-527-2146
Mailing Address - Street 1:919 N 9TH AVE
Mailing Address - Street 2:PURCELL, OK 73080
Mailing Address - City:PURCELL
Mailing Address - State:OK
Mailing Address - Zip Code:73080-2028
Mailing Address - Country:US
Mailing Address - Phone:405-527-2146
Mailing Address - Fax:405-527-6366
Practice Address - Street 1:919 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:PURCELL
Practice Address - State:OK
Practice Address - Zip Code:73080-2028
Practice Address - Country:US
Practice Address - Phone:405-527-2146
Practice Address - Fax:405-527-6366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare