Active NPI
Sallisaw Public School
- Public Health or Welfare Agency
- Sallisaw, OK
National Provider Identifier
1053511337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- SALLISAW PUBLIC SCHOOL
- Practice address
- 701 J T Stites Blvd
Sallisaw, OK 74955-9304 - Phone
- (918) 775-5544
- Fax
- (918) 775-1257
- NPI assigned
- Jul 24, 2007
- Last updated
- Feb 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott M. Farmer
- Title
- Superintendent
- Phone
- (918) 775-5544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
701 J T Stites Blvd
Sallisaw, OK 74955-9304
Mailing address
701 J T Stites Blvd
Sallisaw, OK 74955-9304
Phone (918) 775-5544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100688080A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392336000000",
"number": "1053511337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 J T STITES BLVD",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749559304",
"telephone_number": "918-775-5544",
"fax_number": "918-775-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 J T STITES BLVD",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749559304",
"telephone_number": "918-775-5544",
"fax_number": "918-775-1257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALLISAW PUBLIC SCHOOL",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-24",
"last_updated": "2014-02-14",
"status": "A",
"authorized_official_last_name": "FARMER",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "918-775-5544",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100688080A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sallisaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.