Provider Demographics
NPI:1619579604
Name:OSAGE SCHOOL CO43
Entity Type:Organization
Organization Name:OSAGE SCHOOL CO43
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FINNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-825-2550
Mailing Address - Street 1:7960 W 490
Mailing Address - Street 2:
Mailing Address - City:PRYOR
Mailing Address - State:OK
Mailing Address - Zip Code:74361-4521
Mailing Address - Country:US
Mailing Address - Phone:918-825-2550
Mailing Address - Fax:
Practice Address - Street 1:7960 W 490
Practice Address - Street 2:
Practice Address - City:PRYOR
Practice Address - State:OK
Practice Address - Zip Code:74361-4521
Practice Address - Country:US
Practice Address - Phone:918-825-2550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)