Provider Demographics
NPI:1558584581
Name:MOUNTAIN VIEW-GOTEBO PUBLIC SCHOOL
Entity Type:Organization
Organization Name:MOUNTAIN VIEW-GOTEBO PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SQUIRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-347-2211
Mailing Address - Street 1:124 SOUTH FIRST
Mailing Address - Street 2:RT. 2, BOX 88
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:OK
Mailing Address - Zip Code:73062-9622
Mailing Address - Country:US
Mailing Address - Phone:580-347-2211
Mailing Address - Fax:580-347-2869
Practice Address - Street 1:124 SOUTH FIRST
Practice Address - Street 2:RT. 2, BOX 88
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:OK
Practice Address - Zip Code:73062-9622
Practice Address - Country:US
Practice Address - Phone:580-347-2211
Practice Address - Fax:580-347-2869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)