Provider Demographics
NPI:1790090819
Name:ADAIR PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:ADAIR PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LUDEANA
Authorized Official - Last Name:LEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-785-2438
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:ADAIR
Mailing Address - State:OK
Mailing Address - Zip Code:74330-0197
Mailing Address - Country:US
Mailing Address - Phone:918-785-2424
Mailing Address - Fax:918-785-2491
Practice Address - Street 1:101 HARLEY HUGHES AVE.
Practice Address - Street 2:
Practice Address - City:ADAIR
Practice Address - State:OK
Practice Address - Zip Code:74330
Practice Address - Country:US
Practice Address - Phone:918-785-2438
Practice Address - Fax:918-785-5819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========OtherEMPLOYER IDENTIFICATION NUMBER