Provider Demographics
NPI:1639205131
Name:LOMEGA SCHOOL
Entity Type:Organization
Organization Name:LOMEGA SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-729-4281
Mailing Address - Street 1:RT 1 BOX 46
Mailing Address - Street 2:
Mailing Address - City:OMEGA
Mailing Address - State:OK
Mailing Address - Zip Code:73764
Mailing Address - Country:US
Mailing Address - Phone:405-729-4281
Mailing Address - Fax:405-729-4666
Practice Address - Street 1:RT 1 BOX 1
Practice Address - Street 2:LOMEGA ELEMENTARY SCHOOL
Practice Address - City:LOYAL
Practice Address - State:OK
Practice Address - Zip Code:73756
Practice Address - Country:US
Practice Address - Phone:405-729-4251
Practice Address - Fax:405-729-4252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare