Healthcare Provider Details

I. General information

NPI: 1154409670
Provider Name (Legal Business Name): HASKELL PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NORTH OHIO STREET
HASKELL OK
74436-0278
US

IV. Provider business mailing address

PO BOX 278
HASKELL OK
74436-0278
US

V. Phone/Fax

Practice location:
  • Phone: 918-482-5221
  • Fax: 918-482-3346
Mailing address:
  • Phone: 918-482-5221
  • Fax: 918-482-3346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateOK

VIII. Authorized Official

Name: DR. LANDON BERRY
Title or Position: SUPERINTENDENT
Credential:
Phone: 918-482-5221