Provider Demographics
NPI:1154156602
Name:WESTVILLE PUBLIC SCHOOL
Entity type:Organization
Organization Name:WESTVILLE PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPED DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-723-3181
Mailing Address - Street 1:P.O. BOX 410
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74965
Mailing Address - Country:US
Mailing Address - Phone:918-723-3181
Mailing Address - Fax:918-723-4581
Practice Address - Street 1:500 CHINCAPIN HWY 62 W
Practice Address - Street 2:
Practice Address - City:WESTVILLE
Practice Address - State:OK
Practice Address - Zip Code:74965
Practice Address - Country:US
Practice Address - Phone:918-723-3181
Practice Address - Fax:918-723-4581
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESTVILLE PUBLIC SCHOOLS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare