Provider Demographics
NPI:1386857613
Name:JENNINGS PUBLIC SCHOOL
Entity Type:Organization
Organization Name:JENNINGS PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLENGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-757-2536
Mailing Address - Street 1:523 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74038-5200
Mailing Address - Country:US
Mailing Address - Phone:918-757-2536
Mailing Address - Fax:918-757-2338
Practice Address - Street 1:523 N OAK ST
Practice Address - Street 2:
Practice Address - City:JENNINGS
Practice Address - State:OK
Practice Address - Zip Code:74038-5200
Practice Address - Country:US
Practice Address - Phone:918-757-2536
Practice Address - Fax:918-757-2338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)