Provider Demographics
NPI:1588643274
Name:COUNTY OF DELAWARE GROVE SCHOOLS
Entity Type:Organization
Organization Name:COUNTY OF DELAWARE GROVE SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:STEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-786-3003
Mailing Address - Street 1:PO BOX 450789
Mailing Address - Street 2:700 W 7TH STREET
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74344
Mailing Address - Country:US
Mailing Address - Phone:918-787-5208
Mailing Address - Fax:918-786-4651
Practice Address - Street 1:700 W 7TH STREET
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344
Practice Address - Country:US
Practice Address - Phone:918-787-5208
Practice Address - Fax:918-786-4651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100687930AMedicaid