Provider Demographics
NPI:1184683807
Name:VALLIANT PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:VALLIANT PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-933-7232
Mailing Address - Street 1:604 E LUCAS ST
Mailing Address - Street 2:
Mailing Address - City:VALLIANT
Mailing Address - State:OK
Mailing Address - Zip Code:74764-9076
Mailing Address - Country:US
Mailing Address - Phone:580-933-7232
Mailing Address - Fax:580-933-7289
Practice Address - Street 1:604 E LUCAS ST
Practice Address - Street 2:
Practice Address - City:VALLIANT
Practice Address - State:OK
Practice Address - Zip Code:74764-9076
Practice Address - Country:US
Practice Address - Phone:580-933-7232
Practice Address - Fax:580-933-7289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare