Provider Demographics
NPI:1639737620
Name:HOMINY PUBLIC SCHOOL
Entity type:Organization
Organization Name:HOMINY PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-885-6511
Mailing Address - Street 1:200 S PETTIT AVE
Mailing Address - Street 2:
Mailing Address - City:HOMINY
Mailing Address - State:OK
Mailing Address - Zip Code:74035-3031
Mailing Address - Country:US
Mailing Address - Phone:918-885-6511
Mailing Address - Fax:918-885-2538
Practice Address - Street 1:200 S PETTIT AVE
Practice Address - Street 2:
Practice Address - City:HOMINY
Practice Address - State:OK
Practice Address - Zip Code:74035-3031
Practice Address - Country:US
Practice Address - Phone:918-885-6511
Practice Address - Fax:918-885-2538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)