Provider Demographics
NPI:1063603280
Name:HODGEN PUBLIC SCHOOL
Entity type:Organization
Organization Name:HODGEN PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:O
Authorized Official - Last Name:GLENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-653-4476
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:HODGEN
Mailing Address - State:OK
Mailing Address - Zip Code:74939-0069
Mailing Address - Country:US
Mailing Address - Phone:918-653-4476
Mailing Address - Fax:
Practice Address - Street 1:HWY 59 SOUTH SCHOOL HOUSE ROAD
Practice Address - Street 2:
Practice Address - City:HODGEN
Practice Address - State:OK
Practice Address - Zip Code:74939-0069
Practice Address - Country:US
Practice Address - Phone:918-653-4476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)