Provider Demographics
NPI:1386762433
Name:BRAGGS PUBLIC SCHOOL
Entity type:Organization
Organization Name:BRAGGS PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-487-5265
Mailing Address - Street 1:300 MADDEN AVENUE
Mailing Address - Street 2:P. O. BOX 59
Mailing Address - City:BRAGGS
Mailing Address - State:OK
Mailing Address - Zip Code:74423-0059
Mailing Address - Country:US
Mailing Address - Phone:918-487-5265
Mailing Address - Fax:918-487-2012
Practice Address - Street 1:300 MADDEN AVENUE
Practice Address - Street 2:
Practice Address - City:BRAGGS
Practice Address - State:OK
Practice Address - Zip Code:74423-0059
Practice Address - Country:US
Practice Address - Phone:918-487-5265
Practice Address - Fax:918-487-2012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty