Provider Demographics
NPI:1124146675
Name:RIVERSIDE PUBLIC SCHOOLS
Entity type:Organization
Organization Name:RIVERSIDE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERTINDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MAULDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-262-2907
Mailing Address - Street 1:4800 FOREMAN RD E
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-8610
Mailing Address - Country:US
Mailing Address - Phone:405-262-2907
Mailing Address - Fax:405-262-2925
Practice Address - Street 1:4800 FOREMAN RD E
Practice Address - Street 2:
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036-8610
Practice Address - Country:US
Practice Address - Phone:405-262-2907
Practice Address - Fax:405-262-2925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
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)