Provider Demographics
NPI:1760023576
Name:WHITEFIELD PUBLIC SCHOOL
Entity Type:Organization
Organization Name:WHITEFIELD PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-967-8572
Mailing Address - Street 1:PO BOX 178
Mailing Address - Street 2:
Mailing Address - City:WHITEFIELD
Mailing Address - State:OK
Mailing Address - Zip Code:74472-0178
Mailing Address - Country:US
Mailing Address - Phone:918-967-8572
Mailing Address - Fax:918-967-0007
Practice Address - Street 1:107 SOUTH REDDING STREET
Practice Address - Street 2:
Practice Address - City:WHITEFIELD
Practice Address - State:OK
Practice Address - Zip Code:74472
Practice Address - Country:US
Practice Address - Phone:918-967-8572
Practice Address - Fax:918-967-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)