Provider Demographics
NPI:1558554899
Name:WAYNE PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:WAYNE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-449-3646
Mailing Address - Street 1:212 S SEIFRIED ST
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:OK
Mailing Address - Zip Code:73095-3186
Mailing Address - Country:US
Mailing Address - Phone:405-449-3646
Mailing Address - Fax:405-449-7095
Practice Address - Street 1:212 S SEIFRIED ST
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:OK
Practice Address - Zip Code:73095-3186
Practice Address - Country:US
Practice Address - Phone:405-449-3646
Practice Address - Fax:405-449-7095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty