Organization
COLLINSVILLE PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE D GARRETT (MEDICAID COORDINATOR)
(918) 371-9573
Entity
Organization
Contact information
Practice address
1119 W BROADWAY ST, COLLINSVILLE, OK 74021-2339
(918) 371-9573
(918) 371-4285
Mailing address
1119 W BROADWAY ST, COLLINSVILLE, OK 74021-2339
(918) 371-9573
(918) 371-4285
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
OK
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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