Provider Demographics
NPI:1982949608
Name:ALEX PUBLIC SCHOOL
Entity Type:Organization
Organization Name:ALEX PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHSBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-785-2605
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:ALEX
Mailing Address - State:OK
Mailing Address - Zip Code:73002-0188
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:209 SOUTH SECOND ST
Practice Address - Street 2:
Practice Address - City:ALEX
Practice Address - State:OK
Practice Address - Zip Code:73002
Practice Address - Country:US
Practice Address - Phone:405-785-2605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)