Shady Point Schools

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

SHADY POINT SCHOOLS

Practice address

22838 Wheelus Street
Shady Point, OK 74956

Phone

(918) 963-2595

Fax

(918) 963-2605

NPI assigned

Sep 25, 2006

Last updated

Nov 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Gillham

Title

Superintendent

Phone

(918) 963-2595

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1992806996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1005",
            "city": "SHADY POINT",
            "state": "OK",
            "postal_code": "74956",
            "telephone_number": "918-963-2595",
            "fax_number": "918-963-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22838 WHEELUS STREET",
            "city": "SHADY POINT",
            "state": "OK",
            "postal_code": "74956",
            "telephone_number": "918-963-2595",
            "fax_number": "918-963-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY POINT SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "GILLHAM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "918-963-2595",
        "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": "100681090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara A. Dooty, LCSW
• Jamy Graham
• Vicki Lyn Jackson
• Love Fostering Hope Inc
• Christopher Ragan, D.C.

• Public Health or Welfare Agency in Shady Point, OK
• Providers in Shady Point, OK by specialty
• Public Health or Welfare Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.