Provider Demographics
NPI:1295179950
Name:OLUSTEE PUBLIC SCHOOL
Entity type:Organization
Organization Name:OLUSTEE PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAYLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-648-2243
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:OLUSTEE
Mailing Address - State:OK
Mailing Address - Zip Code:73560-0070
Mailing Address - Country:US
Mailing Address - Phone:580-648-2243
Mailing Address - Fax:
Practice Address - Street 1:606 E. 6TH
Practice Address - Street 2:
Practice Address - City:OLUSTEE
Practice Address - State:OK
Practice Address - Zip Code:73560
Practice Address - Country:US
Practice Address - Phone:580-648-2243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)