Provider Demographics
NPI:1659350627
Name:CENTRAL PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:CENTRAL PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDANT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAX
Authorized Official - Middle Name:R
Authorized Official - Last Name:TANNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-775-5525
Mailing Address - Street 1:ROUTE 1 BOX 36
Mailing Address - Street 2:
Mailing Address - City:SALLISAW
Mailing Address - State:OK
Mailing Address - Zip Code:74955-9712
Mailing Address - Country:US
Mailing Address - Phone:918-775-5525
Mailing Address - Fax:918-775-8557
Practice Address - Street 1:ROUTE 1 BOX 36
Practice Address - Street 2:
Practice Address - City:SALLISAW
Practice Address - State:OK
Practice Address - Zip Code:74955-9712
Practice Address - Country:US
Practice Address - Phone:918-775-5525
Practice Address - Fax:918-775-8557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare