Organization Active NPI

Maryetta School

  • Student Health Clinic/Center
  • Stilwell, OK
National Provider Identifier
1740385657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MARYETTA SCHOOL
Practice address
RR 6 Box 2840
Stilwell, OK 74960-9452
Phone
(918) 696-2285
Fax
(918) 696-6746
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Carthel Means
Title
Superintendent
Phone
(918) 696-2285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

RR 6 Box 2840
Stilwell, OK 74960-9452

Mailing address

RR 6 Box 2840
Stilwell, OK 74960-9452
Phone (918) 696-2285

National Provider Directory

National Provider Directory

Locations

470819 E 810 Rd
Stilwell, OK 74960
Phone (918) 696-2285

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740385657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 2840",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749609452",
            "telephone_number": "918-696-2285",
            "fax_number": "918-696-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 2840",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749609452",
            "telephone_number": "918-696-2285",
            "fax_number": "918-696-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYETTA SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEANS",
        "authorized_official_first_name": "CARTHEL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "918-696-2285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stilwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.