Provider Demographics
NPI:1467200477
Name:OKLAHOMA SKYNET, INC
Entity type:Organization
Organization Name:OKLAHOMA SKYNET, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. MANAGER, SPECIAL PROGRAMS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-455-8563
Mailing Address - Street 1:1117 S DOUGLAS BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-5265
Mailing Address - Country:US
Mailing Address - Phone:405-259-9478
Mailing Address - Fax:
Practice Address - Street 1:1117 S DOUGLAS BLVD STE F
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-5265
Practice Address - Country:US
Practice Address - Phone:405-259-9478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)