Provider Demographics
NPI:1245514181
Name:ALLEN PUBLIC SCHOOLS
Entity type:Organization
Organization Name:ALLEN PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDANT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LASSITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-857-2419
Mailing Address - Street 1:PO BOX 430
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:OK
Mailing Address - Zip Code:74825-0430
Mailing Address - Country:US
Mailing Address - Phone:580-857-2419
Mailing Address - Fax:580-857-2636
Practice Address - Street 1:110 NORTH RICHMOND
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:OK
Practice Address - Zip Code:74825-0430
Practice Address - Country:US
Practice Address - Phone:580-857-2419
Practice Address - Fax:580-857-2636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
100687470AOtherPROVIDER NUMBER