Provider Demographics
NPI:1104315829
Name:KONAWA PUBLIC SCHOOLS
Entity type:Organization
Organization Name:KONAWA PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PREWETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-925-3244
Mailing Address - Street 1:701 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:KONAWA
Mailing Address - State:OK
Mailing Address - Zip Code:74849-1417
Mailing Address - Country:US
Mailing Address - Phone:580-925-3244
Mailing Address - Fax:580-925-2146
Practice Address - Street 1:701 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:KONAWA
Practice Address - State:OK
Practice Address - Zip Code:74849-1417
Practice Address - Country:US
Practice Address - Phone:580-925-3244
Practice Address - Fax:580-925-2146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)