Provider Demographics
NPI:1568758019
Name:ALINE-CLEO PUBLIC SCHOOL
Entity Type:Organization
Organization Name:ALINE-CLEO PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NINA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RICKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-463-2255
Mailing Address - Street 1:P.O. BOX 49
Mailing Address - Street 2:
Mailing Address - City:ALINE
Mailing Address - State:OK
Mailing Address - Zip Code:73716-0049
Mailing Address - Country:US
Mailing Address - Phone:580-463-2255
Mailing Address - Fax:580-463-2256
Practice Address - Street 1:301 EAST ASH
Practice Address - Street 2:
Practice Address - City:ALINE
Practice Address - State:OK
Practice Address - Zip Code:73716-0049
Practice Address - Country:US
Practice Address - Phone:580-463-2255
Practice Address - Fax:580-463-2256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)