Provider Demographics
NPI:1407868458
Name:OKLAHOMA CITY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:OKLAHOMA CITY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR HEALTH/MEDICAID
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:405-587-0250
Mailing Address - Street 1:900 N KLEIN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-7036
Mailing Address - Country:US
Mailing Address - Phone:405-587-0250
Mailing Address - Fax:405-587-0244
Practice Address - Street 1:900 N KLEIN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-7036
Practice Address - Country:US
Practice Address - Phone:405-587-0250
Practice Address - Fax:405-587-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
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