=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225252349
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OILTON PUBLIC SCHOOLS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 306 E. PETERSON ST.
-----------------------------------------------------
City | OILTON
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74052-0130
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-862-3951
-----------------------------------------------------
Fax | 918-862-3955
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 130
-----------------------------------------------------
City | OILTON
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74052-0130
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-862-3951
-----------------------------------------------------
Fax | 918-862-3955
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SCHOOL NURSE
-----------------------------------------------------
Name | MISS LADINA JUSTUS
-----------------------------------------------------
Credential | R.N.
-----------------------------------------------------
Telephone | 918-862-3951
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------