Provider Demographics
NPI:1942326707
Name:MCINTOSH CTY INDEPENDENT SCHOOL DISTRICT NO #19
Entity Type:Organization
Organization Name:MCINTOSH CTY INDEPENDENT SCHOOL DISTRICT NO #19
Other - Org Name:CHECOTAH PUBLIC SCHOOLS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SPECIAL ED. DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-473-5302
Mailing Address - Street 1:310 SW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CHECOTAH
Mailing Address - State:OK
Mailing Address - Zip Code:74426-0000
Mailing Address - Country:US
Mailing Address - Phone:918-473-8080
Mailing Address - Fax:918-473-1020
Practice Address - Street 1:320 W JEFFERSON ST.
Practice Address - Street 2:
Practice Address - City:CHECOTAH
Practice Address - State:OK
Practice Address - Zip Code:74426-0000
Practice Address - Country:US
Practice Address - Phone:918-473-2239
Practice Address - Fax:918-473-2532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100682220AMedicaid