Provider Demographics
NPI:1225345408
Name:CRUTCHO SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CRUTCHO SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-427-3771
Mailing Address - Street 1:2401 N AIR DEPOT BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73141-1407
Mailing Address - Country:US
Mailing Address - Phone:405-427-3771
Mailing Address - Fax:405-427-3816
Practice Address - Street 1:2401 N AIR DEPOT BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73141-1407
Practice Address - Country:US
Practice Address - Phone:405-427-3771
Practice Address - Fax:405-427-3816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100680130AMedicaid