Provider Demographics
NPI:1053512871
Name:GLOVER ELEMENTARY SCHOOL
Entity Type:Organization
Organization Name:GLOVER ELEMENTARY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONVERSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-420-3232
Mailing Address - Street 1:RR 3 BOX 385
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:OK
Mailing Address - Zip Code:74728-9572
Mailing Address - Country:US
Mailing Address - Phone:580-420-3232
Mailing Address - Fax:580-420-3226
Practice Address - Street 1:RR 3 BOX 385
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:OK
Practice Address - Zip Code:74728-9572
Practice Address - Country:US
Practice Address - Phone:580-420-3232
Practice Address - Fax:580-420-3226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========OtherTAX ID#