Provider Demographics
NPI:1639131006
Name:ROLAND PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:ROLAND PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-427-4601
Mailing Address - Street 1:RR 1 BOX 1
Mailing Address - Street 2:
Mailing Address - City:ROLAND
Mailing Address - State:OK
Mailing Address - Zip Code:74954-4003
Mailing Address - Country:US
Mailing Address - Phone:918-427-4601
Mailing Address - Fax:918-427-1785
Practice Address - Street 1:RR 1 BOX 1
Practice Address - Street 2:
Practice Address - City:ROLAND
Practice Address - State:OK
Practice Address - Zip Code:74954-4003
Practice Address - Country:US
Practice Address - Phone:918-427-4601
Practice Address - Fax:918-427-1785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251K00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare