MEDICARE: HASKELL PUBLIC SCHOOLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154409670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HASKELL PUBLIC SCHOOLS

Provider Business Mailing Address
First Line	:	PO BOX 278
Second Line	:
City	:	HASKELL
State	:	OK
Zip	:	74436-0278
Country	:	US
Telephone Number	:	918-482-5221
Fax Number	:	918-482-3346

Provider Business Practice Location Address
First Line	:	900 NORTH OHIO STREET
Second Line	:
City	:	HASKELL
State	:	OK
Zip	:	74436-0278
Country	:	US
Telephone Number	:	918-482-5221
Fax Number	:	918-482-3346

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. LANDON BERRY
Credential	:
Telephone Number	:	918-482-5221

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/21/2022

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Directions to “HASKELL PUBLIC SCHOOLS ” Practice Location

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