Provider Demographics
NPI:1427248863
Name:HAYWOOD PUBLIC SCHOOL
Entity type:Organization
Organization Name:HAYWOOD PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-423-6262
Mailing Address - Street 1:HC 75 BOX 3
Mailing Address - Street 2:
Mailing Address - City:HAYWOOD
Mailing Address - State:OK
Mailing Address - Zip Code:74501-8900
Mailing Address - Country:US
Mailing Address - Phone:918-423-6265
Mailing Address - Fax:918-423-8063
Practice Address - Street 1:HC 75 BOX 3
Practice Address - Street 2:
Practice Address - City:HAYWOOD
Practice Address - State:OK
Practice Address - Zip Code:74501-8900
Practice Address - Country:US
Practice Address - Phone:918-423-6265
Practice Address - Fax:918-423-8063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)