Provider Demographics
NPI:1174717458
Name:INDIAHOMA PUBLIC SCHOOL
Entity type:Organization
Organization Name:INDIAHOMA PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:VOEGELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-246-3448
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:INDIAHOMA
Mailing Address - State:OK
Mailing Address - Zip Code:73552-0008
Mailing Address - Country:US
Mailing Address - Phone:580-246-3448
Mailing Address - Fax:580-246-3372
Practice Address - Street 1:307 CHEBAHTAH STREET
Practice Address - Street 2:
Practice Address - City:INDIAHOMA
Practice Address - State:OK
Practice Address - Zip Code:73552-0000
Practice Address - Country:US
Practice Address - Phone:580-246-3448
Practice Address - Fax:580-246-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)