Provider Demographics
NPI:1912020546
Name:CANEY PUBLIC SCHOOL
Entity Type:Organization
Organization Name:CANEY PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:R
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-889-1996
Mailing Address - Street 1:PO BOX 60
Mailing Address - Street 2:
Mailing Address - City:CANEY
Mailing Address - State:OK
Mailing Address - Zip Code:74533-0060
Mailing Address - Country:US
Mailing Address - Phone:580-889-6608
Mailing Address - Fax:
Practice Address - Street 1:301 N COBB AVE
Practice Address - Street 2:
Practice Address - City:CANEY
Practice Address - State:OK
Practice Address - Zip Code:74533
Practice Address - Country:US
Practice Address - Phone:580-889-6608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare