Provider Demographics
NPI:1639483563
Name:SAVANNA PUBLIC SCHOOL
Entity Type:Organization
Organization Name:SAVANNA PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-548-3777
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:HWY 69 SOUTH
Mailing Address - City:SAVANNAH
Mailing Address - State:OK
Mailing Address - Zip Code:74565
Mailing Address - Country:US
Mailing Address - Phone:918-548-3777
Mailing Address - Fax:
Practice Address - Street 1:HWY 69 SOUTH
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:OK
Practice Address - Zip Code:74565
Practice Address - Country:US
Practice Address - Phone:918-548-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare