Provider Demographics
NPI:1700955101
Name:OKTAHA PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:OKTAHA PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEEDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-687-3672
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:OKTAHA
Mailing Address - State:OK
Mailing Address - Zip Code:74450
Mailing Address - Country:US
Mailing Address - Phone:918-687-3672
Mailing Address - Fax:918-782-7520
Practice Address - Street 1:531 PRAIRIE
Practice Address - Street 2:
Practice Address - City:OKTAHA
Practice Address - State:OK
Practice Address - Zip Code:74450
Practice Address - Country:US
Practice Address - Phone:918-687-3672
Practice Address - Fax:918-782-7520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare