County of Mayes Locust Grove Schools

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF MAYES LOCUST GROVE SCHOOLS

Practice address

700 North Highway 82
Locust Grove Middle School
Locust Grove, OK 74352

Phone

(918) 479-5317

Fax

(918) 479-5347

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Billie L Davis

Title

Office Manager

Phone

(918) 479-5243

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1124156807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "address_2": "419 NORTH BROADWAY",
            "city": "LOCUST GROVE",
            "state": "OK",
            "postal_code": "74352",
            "telephone_number": "918-479-5243",
            "fax_number": "918-479-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NORTH HIGHWAY 82",
            "address_2": "LOCUST GROVE MIDDLE SCHOOL",
            "city": "LOCUST GROVE",
            "state": "OK",
            "postal_code": "74352",
            "telephone_number": "918-479-5317",
            "fax_number": "918-479-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MAYES LOCUST GROVE SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-479-5243",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100687900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Linda Deselle
• Shelby Lace Doughty, M.S. CCC-SLP
• Audra Durnal
• Robert Brent Edmonds

• All providers in Locust Grove, OK
• Public Health or Welfare Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.