Provider Demographics
NPI:1477524593
Name:KREBS PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:KREBS PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:FLORENZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-426-4700
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:KREBS
Mailing Address - State:OK
Mailing Address - Zip Code:74554-0067
Mailing Address - Country:US
Mailing Address - Phone:918-426-4700
Mailing Address - Fax:918-423-2909
Practice Address - Street 1:20 SW 5TH
Practice Address - Street 2:
Practice Address - City:KREBS
Practice Address - State:OK
Practice Address - Zip Code:74554-0067
Practice Address - Country:US
Practice Address - Phone:918-426-4700
Practice Address - Fax:918-423-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251K00000X261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health