Provider Demographics
NPI:1174050843
Name:SULPHUR PUBLIC SCHOOL
Entity type:Organization
Organization Name:SULPHUR PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:MYRINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-348-2940
Mailing Address - Street 1:1021 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:OK
Mailing Address - Zip Code:73086-4619
Mailing Address - Country:US
Mailing Address - Phone:580-622-2061
Mailing Address - Fax:
Practice Address - Street 1:1021 W 9TH ST
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:OK
Practice Address - Zip Code:73086-4619
Practice Address - Country:US
Practice Address - Phone:580-622-2061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare