Provider Demographics
NPI:1407997323
Name:HARMONY PUBLIC SCHOOL
Entity Type:Organization
Organization Name:HARMONY PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-889-3687
Mailing Address - Street 1:490 S BENTLEY RD
Mailing Address - Street 2:
Mailing Address - City:ATOKA
Mailing Address - State:OK
Mailing Address - Zip Code:74525-5051
Mailing Address - Country:US
Mailing Address - Phone:580-889-3687
Mailing Address - Fax:580-889-4631
Practice Address - Street 1:490 S BENTLEY RD
Practice Address - Street 2:
Practice Address - City:ATOKA
Practice Address - State:OK
Practice Address - Zip Code:74525-5051
Practice Address - Country:US
Practice Address - Phone:580-889-3687
Practice Address - Fax:580-889-4631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100682510AMedicaid
OK251K00000XOtherTAXONOMY
OK12OtherPROVIDER TYPE