Provider Demographics
NPI:1396848842
Name:BURLINGTON PUBLIC SCHOOL
Entity Type:Organization
Organization Name:BURLINGTON PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-431-2222
Mailing Address - Street 1:PO BOX 17
Mailing Address - Street 2:401 MAIN STREET
Mailing Address - City:BURLINGTON
Mailing Address - State:OK
Mailing Address - Zip Code:73722-0017
Mailing Address - Country:US
Mailing Address - Phone:580-431-2222
Mailing Address - Fax:580-431-2237
Practice Address - Street 1:401 MAIN STREET
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:OK
Practice Address - Zip Code:73722-0017
Practice Address - Country:US
Practice Address - Phone:580-431-2222
Practice Address - Fax:580-431-2237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty