Provider Demographics
NPI:1366795486
Name:SWEETWATER PUBLIC SCHOOL
Entity type:Organization
Organization Name:SWEETWATER PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-534-2272
Mailing Address - Street 1:11107 N HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:SWEETWATER
Mailing Address - State:OK
Mailing Address - Zip Code:73666-6606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11107 N HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:OK
Practice Address - Zip Code:73666-6606
Practice Address - Country:US
Practice Address - Phone:580-534-2272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)