Provider Demographics
NPI:1740421221
Name:BOARD OF EDUCATION MILBURN SCHOOL
Entity Type:Organization
Organization Name:BOARD OF EDUCATION MILBURN SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDANT
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-443-5522
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:TISHOMINGO
Mailing Address - State:OK
Mailing Address - Zip Code:73460-0205
Mailing Address - Country:US
Mailing Address - Phone:580-443-5522
Mailing Address - Fax:580-443-5303
Practice Address - Street 1:200 NORTH 8TH STREET
Practice Address - Street 2:
Practice Address - City:MILBURN
Practice Address - State:OK
Practice Address - Zip Code:73450
Practice Address - Country:US
Practice Address - Phone:580-443-5522
Practice Address - Fax:580-443-5303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)