Provider Demographics
NPI:1508080474
Name:TUSKAHOMA PUBLIC SCHOOL
Entity Type:Organization
Organization Name:TUSKAHOMA PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPT.
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:REED
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-569-7737
Mailing Address - Street 1:HIGHWAY 271 BOX 100
Mailing Address - Street 2:
Mailing Address - City:TUSKAHOMA
Mailing Address - State:OK
Mailing Address - Zip Code:74574-0100
Mailing Address - Country:US
Mailing Address - Phone:918-569-7737
Mailing Address - Fax:918-569-4154
Practice Address - Street 1:HIGHWAY 271 # 100
Practice Address - Street 2:
Practice Address - City:TUSKAHOMA
Practice Address - State:OK
Practice Address - Zip Code:74574-0100
Practice Address - Country:US
Practice Address - Phone:918-569-7737
Practice Address - Fax:918-569-4154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)