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NPI Code Detail

MEDICARE: FORT GIBSON PUBLIC SCHOOLS

MEDICARE: FORT GIBSON PUBLIC SCHOOLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare AgencyOK

General Provider Information

NPI Number : 1104882000
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT GIBSON PUBLIC SCHOOLS
Provider Business Mailing Address
First Line : 500 S ROSS AVE
Second Line : SPECIAL SERVICES OFFICE
City : FORT GIBSON
State : OK
Zip : 74434-8422
Country : US
Telephone Number : 918-478-3734
Fax Number : 918-478-3079
Provider Business Practice Location Address
First Line : 500 S ROSS AVE
Second Line : SPECIAL SERVICES OFFICE
City : FORT GIBSON
State : OK
Zip : 74434-8422
Country : US
Telephone Number : 918-478-3734
Fax Number : 918-478-3079
Authorized Official
Title or Position : SPECIAL SERVICES ADMINISTRATOR
Name : MRS. MARILYN LOU DEWOODY
Credential :
Telephone Number : 918-478-3734
Provider Enumeration Date : 04/21/2006
Last Update Date : 08/22/2020

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Directions to “FORT GIBSON PUBLIC SCHOOLS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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