Provider Demographics
NPI:1962548107
Name:BIXBY PUBLIC SCHOOL
Entity type:Organization
Organization Name:BIXBY PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIRECTOR - INSTR. & STUD. SER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COODY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:918-366-2330
Mailing Address - Street 1:109 N ARMSTRONG ST
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-4449
Mailing Address - Country:US
Mailing Address - Phone:918-366-2330
Mailing Address - Fax:918-366-2365
Practice Address - Street 1:109 N ARMSTRONG ST
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-4449
Practice Address - Country:US
Practice Address - Phone:918-366-2330
Practice Address - Fax:918-366-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)