Provider Demographics
NPI:1750486197
Name:TYRONE SCHOOL
Entity Type:Organization
Organization Name:TYRONE SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTERDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-854-6298
Mailing Address - Street 1:PO BOX 168
Mailing Address - Street 2:LETH AND BEATRICE
Mailing Address - City:TYRONE
Mailing Address - State:OK
Mailing Address - Zip Code:73951-0168
Mailing Address - Country:US
Mailing Address - Phone:580-854-6298
Mailing Address - Fax:580-854-6474
Practice Address - Street 1:6TH AND BEATRICE
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:OK
Practice Address - Zip Code:73951
Practice Address - Country:US
Practice Address - Phone:580-854-6298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty