Provider Demographics
NPI:1386836633
Name:SWINK PUBLIC SCHOOL
Entity Type:Organization
Organization Name:SWINK PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE SECRETARY/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-873-2695
Mailing Address - Street 1:PO BOX 73
Mailing Address - Street 2:
Mailing Address - City:SWINK
Mailing Address - State:OK
Mailing Address - Zip Code:74761-0073
Mailing Address - Country:US
Mailing Address - Phone:580-873-2695
Mailing Address - Fax:580-873-9493
Practice Address - Street 1:500 JOURDAN STREET
Practice Address - Street 2:
Practice Address - City:SWINK
Practice Address - State:OK
Practice Address - Zip Code:74761-0073
Practice Address - Country:US
Practice Address - Phone:580-873-2695
Practice Address - Fax:580-873-9493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1K00000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)