Provider Demographics
NPI:1154409670
Name:HASKELL PUBLIC SCHOOLS
Entity type:Organization
Organization Name:HASKELL PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-482-5221
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:HASKELL
Mailing Address - State:OK
Mailing Address - Zip Code:74436-0278
Mailing Address - Country:US
Mailing Address - Phone:918-482-5221
Mailing Address - Fax:918-482-3346
Practice Address - Street 1:900 NORTH OHIO STREET
Practice Address - Street 2:
Practice Address - City:HASKELL
Practice Address - State:OK
Practice Address - Zip Code:74436-0278
Practice Address - Country:US
Practice Address - Phone:918-482-5221
Practice Address - Fax:918-482-3346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100681720AMedicaid