Provider Demographics
NPI:1881802387
Name:COWETA PUBLIC SCHOOLS
Entity type:Organization
Organization Name:COWETA PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPED DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:I
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-486-6103
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:COWETA
Mailing Address - State:OK
Mailing Address - Zip Code:74429-0550
Mailing Address - Country:US
Mailing Address - Phone:918-486-8351
Mailing Address - Fax:918-486-4404
Practice Address - Street 1:14540 SOUTH 302ND EAST AVENUE
Practice Address - Street 2:
Practice Address - City:COWETA
Practice Address - State:OK
Practice Address - Zip Code:74429-0550
Practice Address - Country:US
Practice Address - Phone:918-486-8351
Practice Address - Fax:918-486-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100687640AMedicaid