Provider Demographics
NPI:1538419437
Name:KEYS PUBLIC SCHOOL
Entity type:Organization
Organization Name:KEYS PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:918-458-1835
Mailing Address - Street 1:26622 S 520 RD
Mailing Address - Street 2:
Mailing Address - City:PARK HILL
Mailing Address - State:OK
Mailing Address - Zip Code:74451-4046
Mailing Address - Country:US
Mailing Address - Phone:918-458-1835
Mailing Address - Fax:918-456-7502
Practice Address - Street 1:26622 SOUTH 520 ROAD
Practice Address - Street 2:
Practice Address - City:PARK HILL
Practice Address - State:OK
Practice Address - Zip Code:74451-4046
Practice Address - Country:US
Practice Address - Phone:918-458-1835
Practice Address - Fax:918-456-7502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)