Provider Demographics
NPI:1316075096
Name:FRONTIER PUBLIC SCHOOL
Entity type:Organization
Organization Name:FRONTIER PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WOMACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-723-4360
Mailing Address - Street 1:HIGHWAY 15 EAST
Mailing Address - Street 2:
Mailing Address - City:RED ROCK
Mailing Address - State:OK
Mailing Address - Zip Code:74651
Mailing Address - Country:US
Mailing Address - Phone:580-723-4360
Mailing Address - Fax:580-723-4516
Practice Address - Street 1:EAST HWY 15
Practice Address - Street 2:
Practice Address - City:RED ROCK
Practice Address - State:OK
Practice Address - Zip Code:74651
Practice Address - Country:US
Practice Address - Phone:580-723-4360
Practice Address - Fax:580-723-4516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)