Provider Demographics
NPI:1891419560
Name:ENTERPRISE SCHOOL DISTRICT # 21
Entity Type:Organization
Organization Name:ENTERPRISE SCHOOL DISTRICT # 21
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-927-7311
Mailing Address - Street 1:201 SE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:OR
Mailing Address - Zip Code:97828-1350
Mailing Address - Country:US
Mailing Address - Phone:541-426-3193
Mailing Address - Fax:
Practice Address - Street 1:201 SE 4TH ST
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:OR
Practice Address - Zip Code:97828-1350
Practice Address - Country:US
Practice Address - Phone:541-426-3193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)