Provider Demographics
NPI:1740378082
Name:BOKOSHE PUBLIC SCHOOLS
Entity type:Organization
Organization Name:BOKOSHE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:SHOUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-969-2491
Mailing Address - Street 1:101 CHICKASAW
Mailing Address - Street 2:PO BOX 158
Mailing Address - City:BOKOSHE
Mailing Address - State:OK
Mailing Address - Zip Code:74930-0158
Mailing Address - Country:US
Mailing Address - Phone:918-969-2491
Mailing Address - Fax:918-696-2493
Practice Address - Street 1:101 CHICKASAW
Practice Address - Street 2:
Practice Address - City:BOKOSHE
Practice Address - State:OK
Practice Address - Zip Code:74930-0158
Practice Address - Country:US
Practice Address - Phone:918-969-2491
Practice Address - Fax:918-696-2493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare