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Organization Active NPI

Moyers Public School Io 22

  • Student in an Organized Health Care Education/Training Program
  • Moyers, OK
National Provider Identifier
1114904711
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
MOYERS PUBLIC SCHOOL IO 22
Practice address
H W 2 N Cobb Drive
Moyers, OK 74557
Phone
(580) 298-5547
Fax
(580) 298-2022
NPI assigned
Dec 27, 2005
Last updated
Sep 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Dudley
Title
Superintendent
Phone
(580) 298-5547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

H W 2 N Cobb Drive
Moyers, OK 74557

Mailing address

PO Box 88
Moyers, OK 74557
Phone (580) 298-5547

Other identifiers 1

IdentifierTypeStateIssuer
100684050AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1114904711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "MOYERS",
            "state": "OK",
            "postal_code": "74557",
            "telephone_number": "580-298-5547",
            "fax_number": "580-298-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H W 2 N COBB DRIVE",
            "city": "MOYERS",
            "state": "OK",
            "postal_code": "74557",
            "telephone_number": "580-298-5547",
            "fax_number": "580-298-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYERS PUBLIC SCHOOL IO 22",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "580-298-5547"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100684050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.