1205884954 NPI number — TWIN HILLS SCHOOL

Table of content: (NPI 1205884954)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205884954 NPI number — TWIN HILLS SCHOOL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TWIN HILLS SCHOOL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205884954
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7225 TWIN HILLS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKMULGEE
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74447-2053
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-733-2531
Provider Business Mailing Address Fax Number:
918-733-2861

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7225 TWIN HILLS RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OKMULGEE
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74444-2053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-733-2531
Provider Business Practice Location Address Fax Number:
918-733-2861
Provider Enumeration Date:
05/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PINKSTON
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
918-733-2531

Provider Taxonomy Codes

  • Taxonomy code: 163WS0200X , with the licence number:  R0065294 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 225100000X , with the licence number: 3721 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 225100000X , with the licence number: 3890 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 225X00000X , with the licence number: 1444 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 235Z00000X , with the licence number: 2542 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)