MOYERS PUBLIC SCHOOL IO 22 NPI 1114904711

NPI Information

  • NPI: 1114904711
  • Provider Name: MOYERS PUBLIC SCHOOL IO 22
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Organization
  • Address: H W 2 N COBB DRIVE
    MOYERS, OK
    ZIP 74557
  • Phone: (580) 298-5547

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NPI Details

MOYERS PUBLIC SCHOOL IO 22 is a student in an organized health care education training program in Moyers, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MOYERS PUBLIC SCHOOL IO 22 NPI is 1114904711. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

H W 2 N COBB DRIVE
MOYERS, OK
ZIP 74557
Phone: (580) 298-5547
Fax: (580) 298-2022

The provider's authorized official is Donna Dudley .
The authorized official title is Superintendent and has the following contact phone number (580) 298-5547.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 9/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100684050AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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