MEDICARE: OKLAHOMA STATE DEPARTMENT OF EDUCATION

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
1	251B00000X	Case Management Agency		OK

General Provider Information

NPI Number	:	1558587949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OKLAHOMA STATE DEPARTMENT OF EDUCATION

Provider Business Mailing Address
First Line	:	2500 NORTH LINCOLN BLVD.
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73105-4599
Country	:	US
Telephone Number	:	405-521-4885
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 NORTH LINCOLN BLVD.
Second Line	:	ROOM 510
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73105-4599
Country	:	US
Telephone Number	:	405-521-4880
Fax Number	:

Authorized Official
Title or Position	:	STATE SUPERINTENDENT OF PUBLIC INST
Name	:	MS. SANDY GARRETT
Credential	:
Telephone Number	:	405-521-4885

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	08/22/2020

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Directions to “OKLAHOMA STATE DEPARTMENT OF EDUCATION ” Practice Location

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