Provider Demographics
NPI:1780016717
Name:VICI PUBLIC SCHOOL
Entity Type:Organization
Organization Name:VICI PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:COBY
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-995-4744
Mailing Address - Street 1:PO BOX 60
Mailing Address - Street 2:
Mailing Address - City:VICI
Mailing Address - State:OK
Mailing Address - Zip Code:73859-0060
Mailing Address - Country:US
Mailing Address - Phone:580-995-4744
Mailing Address - Fax:580-995-3101
Practice Address - Street 1:305 S MILLER ST
Practice Address - Street 2:
Practice Address - City:VICI
Practice Address - State:OK
Practice Address - Zip Code:73859
Practice Address - Country:US
Practice Address - Phone:580-995-4744
Practice Address - Fax:580-995-3101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)