1265493837 NPI number — LAWTON INDEPENDENT SCHOOL DISTRICT

Table of content: (NPI 1265493837)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265493837 NPI number — LAWTON INDEPENDENT SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAWTON INDEPENDENT SCHOOL DISTRICT
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:
6
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:
1265493837
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
753 NW FORT SILL BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAWTON
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73507-5421
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-357-6900
Provider Business Mailing Address Fax Number:
580-585-6405

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
753 NW FORT SILL BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAWTON
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73507-5421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-357-6900
Provider Business Practice Location Address Fax Number:
580-585-6405
Provider Enumeration Date:
03/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BRANSTETTER
Authorized Official First Name:
DIANE
Authorized Official Middle Name:
MELAINE
Authorized Official Title or Position:
DISTRICT FINANCIAL MANAGER
Authorized Official Telephone Number:
580-357-6900

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X , with the licence number:  100677790A , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 100687790A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com