Provider Demographics
NPI:1346596111
Name:BRIGGS PUBLIC SCHOOL
Entity Type:Organization
Organization Name:BRIGGS PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-456-4221
Mailing Address - Street 1:17210 S 569 RD
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-1812
Mailing Address - Country:US
Mailing Address - Phone:918-456-4221
Mailing Address - Fax:918-456-4049
Practice Address - Street 1:17210 S 569 RD
Practice Address - Street 2:
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-1812
Practice Address - Country:US
Practice Address - Phone:918-456-4221
Practice Address - Fax:918-456-4049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)