Provider Demographics
NPI:1447339577
Name:TUPELO PUBLIC SCHOOL
Entity type:Organization
Organization Name:TUPELO PUBLIC SCHOOL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-845-2460
Mailing Address - Street 1:PO BOX 239
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:OK
Mailing Address - Zip Code:74572
Mailing Address - Country:US
Mailing Address - Phone:580-845-2381
Mailing Address - Fax:580-845-2565
Practice Address - Street 1:310 HIGH SCHOOL ST
Practice Address - Street 2:TUPELO HIGH SCHOOL
Practice Address - City:TUPELO
Practice Address - State:OK
Practice Address - Zip Code:74572
Practice Address - Country:US
Practice Address - Phone:580-845-2381
Practice Address - Fax:580-845-2565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)