Provider Demographics
NPI:1972590065
Name:RIPLEY PUBLIC SCHOOLS
Entity type:Organization
Organization Name:RIPLEY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:STURGEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-372-4242
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:OK
Mailing Address - Zip Code:74062-0097
Mailing Address - Country:US
Mailing Address - Phone:918-372-4242
Mailing Address - Fax:918-372-4608
Practice Address - Street 1:403 E COOK
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:OK
Practice Address - Zip Code:74062-6456
Practice Address - Country:US
Practice Address - Phone:918-372-4242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare