Healthcare Provider Details

I. General information

NPI: 1356430276
Provider Name (Legal Business Name): VERDEN PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 S. LOCUST ST
VERDEN OK
73092-0092
US

IV. Provider business mailing address

PO BOX 99
VERDEN OK
73092-0099
US

V. Phone/Fax

Practice location:
  • Phone: 405-453-7247
  • Fax: 405-453-7246
Mailing address:
  • Phone: 405-453-7247
  • Fax: 405-453-7246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateOK

VIII. Authorized Official

Name: DAVID DAVIDSON
Title or Position: SUPERINTENDENT
Credential:
Phone: 405-453-7247