Provider Demographics
NPI:1417038811
Name:CROWDER PUBLIC SCHOOL
Entity Type:Organization
Organization Name:CROWDER PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-334-3203
Mailing Address - Street 1:PO BOX B
Mailing Address - Street 2:BOND ST AND E ST.
Mailing Address - City:CROWDER
Mailing Address - State:OK
Mailing Address - Zip Code:74430
Mailing Address - Country:US
Mailing Address - Phone:918-334-3203
Mailing Address - Fax:918-334-3295
Practice Address - Street 1:BOND ST. & E ST.
Practice Address - Street 2:
Practice Address - City:CROWDER
Practice Address - State:OK
Practice Address - Zip Code:74430
Practice Address - Country:US
Practice Address - Phone:918-334-3203
Practice Address - Fax:918-334-3295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare