Organization
SALLISAW PUBLIC SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT M. FARMER (SUPERINTENDENT)
(918) 775-5544
Entity
Organization
Contact information
Practice address
701 J T STITES BLVD, SALLISAW, OK 74955-9304
(918) 775-5544
(918) 775-1257
Mailing address
701 J T STITES BLVD, SALLISAW, OK 74955-9304
(918) 775-5544
(918) 775-1257
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100688080A
—
OK
Enumeration date
07/24/2007
Last updated
02/14/2014
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