Provider Demographics
NPI:1700582574
Name:SHATTUCK PUBLIC SCHOOLS
Entity type:Organization
Organization Name:SHATTUCK PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:BULLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-938-2586
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:SHATTUCK
Mailing Address - State:OK
Mailing Address - Zip Code:73858-0159
Mailing Address - Country:US
Mailing Address - Phone:580-938-2586
Mailing Address - Fax:580-938-8019
Practice Address - Street 1:602 S HICKORY ST
Practice Address - Street 2:
Practice Address - City:SHATTUCK
Practice Address - State:OK
Practice Address - Zip Code:73858-8701
Practice Address - Country:US
Practice Address - Phone:580-938-2586
Practice Address - Fax:580-938-8019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)