Provider Demographics
NPI:1437241965
Name:CHICKASHA PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:CHICKASHA PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLEETWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-222-6500
Mailing Address - Street 1:900 W CHOCTAW AVE
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-2213
Mailing Address - Country:US
Mailing Address - Phone:405-222-6500
Mailing Address - Fax:405-222-6590
Practice Address - Street 1:900 W CHOCTAW AVE
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-2213
Practice Address - Country:US
Practice Address - Phone:405-222-6500
Practice Address - Fax:405-222-6590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare