Provider Demographics
NPI:1477689040
Name:STIGLER PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:STIGLER PUBLIC SCHOOLS
Other - Org Name:HASKELL COUNTY COOPERATIVE
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:SELF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-967-2805
Mailing Address - Street 1:309 NW E ST
Mailing Address - Street 2:
Mailing Address - City:STIGLER
Mailing Address - State:OK
Mailing Address - Zip Code:74462-1870
Mailing Address - Country:US
Mailing Address - Phone:918-967-2805
Mailing Address - Fax:918-967-4550
Practice Address - Street 1:309 NW E ST
Practice Address - Street 2:
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462-1870
Practice Address - Country:US
Practice Address - Phone:918-967-2805
Practice Address - Fax:918-967-4550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251K00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100680610AMedicaid