Organization Active NPI

Greasy Public School

  • Local Education Agency (LEA)
  • Bunch, OK
National Provider Identifier
1417102104
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GREASY PUBLIC SCHOOL
Practice address
RR 1 Box 1589
Bunch, OK 74931-9740
Phone
(918) 696-7768
Fax
(918) 696-7240
NPI assigned
Nov 21, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Mr. David Wayne Eads, MASTER DEGREE ADMIN
Title
Superintendent
Phone
(918) 696-7768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

RR 1 Box 1589
Bunch, OK 74931-9740

Mailing address

RR 1 Box 1589
Bunch, OK 74931-9740
Phone (918) 696-7768

Other identifiers 1

IdentifierTypeStateIssuer
100684490AMedicaidOK

National Provider Directory

National Provider Directory

Locations

92009 S 4676 Rd
Bunch, OK 74931
Phone (918) 696-7768

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1417102104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1589",
            "city": "BUNCH",
            "state": "OK",
            "postal_code": "749319740",
            "telephone_number": "918-696-7768",
            "fax_number": "918-696-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1589",
            "city": "BUNCH",
            "state": "OK",
            "postal_code": "749319740",
            "telephone_number": "918-696-7768",
            "fax_number": "918-696-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREASY PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "EADS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "918-696-7768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASTER DEGREE ADMIN"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100684490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunch, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.