Provider Demographics
NPI:1073673372
Name:PIONEER PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:PIONEER PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-224-2700
Mailing Address - Street 1:3686 STATE HIGHWAY 92
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-7014
Mailing Address - Country:US
Mailing Address - Phone:405-224-2700
Mailing Address - Fax:405-224-2755
Practice Address - Street 1:3686 STATE HIGHWAY 92
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-7014
Practice Address - Country:US
Practice Address - Phone:405-224-2700
Practice Address - Fax:405-224-2755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare