Provider Demographics
NPI:1184904591
Name:MUSKOGEE PUBLIC SCHOOLS
Entity type:Organization
Organization Name:MUSKOGEE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:GARDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-684-3700
Mailing Address - Street 1:202 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-6651
Mailing Address - Country:US
Mailing Address - Phone:918-684-3700
Mailing Address - Fax:918-684-3827
Practice Address - Street 1:202 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-6651
Practice Address - Country:US
Practice Address - Phone:918-684-3700
Practice Address - Fax:918-684-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)