Provider Demographics
NPI:1487725149
Name:WAINWRIGHT SCHOOL
Entity type:Organization
Organization Name:WAINWRIGHT SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:OGDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-474-3484
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:WAINWRIGHT
Mailing Address - State:OK
Mailing Address - Zip Code:74468-0189
Mailing Address - Country:US
Mailing Address - Phone:918-474-3484
Mailing Address - Fax:
Practice Address - Street 1:WALNUT BETWEEN 1ST & 2ND ST
Practice Address - Street 2:
Practice Address - City:WAINWRIGHT
Practice Address - State:OK
Practice Address - Zip Code:74468-0189
Practice Address - Country:US
Practice Address - Phone:918-474-3484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100681130Medicaid