=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598984619
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GEARY PUBLIC SCHOOL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/25/2007
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 221 S GALENA AVE
-----------------------------------------------------
City | GEARY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73040-2220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-884-2442
-----------------------------------------------------
Fax | 405-884-2983
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 221 S GALENA AVE PO BOX 188
-----------------------------------------------------
City | GEARY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73040-2220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-884-2442
-----------------------------------------------------
Fax | 405-884-2983
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SECRETARY AND MEDICAD BILLER
-----------------------------------------------------
Name | MS. SHERI SUE LAWSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 405-884-2442
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------