Provider Demographics
NPI:1669672218
Name:CALVIN PUBLIC SCHOOL
Entity Type:Organization
Organization Name:CALVIN PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:A
Authorized Official - Last Name:TUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-645-2411
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:CALVIN
Mailing Address - State:OK
Mailing Address - Zip Code:74531-0127
Mailing Address - Country:US
Mailing Address - Phone:405-645-2411
Mailing Address - Fax:405-645-2384
Practice Address - Street 1:229 THIRD ST
Practice Address - Street 2:
Practice Address - City:CALVIN
Practice Address - State:OK
Practice Address - Zip Code:74531-0000
Practice Address - Country:US
Practice Address - Phone:405-645-2411
Practice Address - Fax:405-645-2384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)