Provider Demographics
NPI:1285772376
Name:SOPER PUBLIC SCHOOL
Entity type:Organization
Organization Name:SOPER PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JESTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-345-2211
Mailing Address - Street 1:PO BOX 149
Mailing Address - Street 2:100 ST. LOUIS STREET
Mailing Address - City:SOPER
Mailing Address - State:OK
Mailing Address - Zip Code:74759-0149
Mailing Address - Country:US
Mailing Address - Phone:580-345-2211
Mailing Address - Fax:580-345-2896
Practice Address - Street 1:100 ST. LOUIS STREET
Practice Address - Street 2:
Practice Address - City:SOPER
Practice Address - State:OK
Practice Address - Zip Code:74759-0149
Practice Address - Country:US
Practice Address - Phone:580-345-2211
Practice Address - Fax:580-345-2896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)