Provider Demographics
NPI:1285817858
Name:PIONEER-PLEASANT VALE SCHOOL
Entity Type:Organization
Organization Name:PIONEER-PLEASANT VALE SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-758-3282
Mailing Address - Street 1:6520 E WOOD RD
Mailing Address - Street 2:
Mailing Address - City:WAUKOMIS
Mailing Address - State:OK
Mailing Address - Zip Code:73773-0823
Mailing Address - Country:US
Mailing Address - Phone:580-758-3282
Mailing Address - Fax:580-758-3504
Practice Address - Street 1:6520 E WOOD RD
Practice Address - Street 2:
Practice Address - City:WAUKOMIS
Practice Address - State:OK
Practice Address - Zip Code:73773-0823
Practice Address - Country:US
Practice Address - Phone:580-758-3282
Practice Address - Fax:580-758-3504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)