Healthcare Provider Details

I. General information

NPI: 1427166495
Provider Name (Legal Business Name): BARNSDALL SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SOUTH EIGHTH ST.
BARNSDALL OK
74002-0629
US

IV. Provider business mailing address

PO BOX 629
BARNSDALL OK
74002-0629
US

V. Phone/Fax

Practice location:
  • Phone: 918-847-2271
  • Fax: 918-847-3029
Mailing address:
  • Phone: 918-847-2271
  • Fax: 918-847-3029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RICK LOGGINS
Title or Position: SUPERINTENDENT
Credential:
Phone: 918-847-2271