Provider Demographics
NPI:1013164607
Name:GYPSY SCHOOL
Entity Type:Organization
Organization Name:GYPSY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:CLEMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-324-5365
Mailing Address - Street 1:30899 S 417TH WEST AVE
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:OK
Mailing Address - Zip Code:74028-2505
Mailing Address - Country:US
Mailing Address - Phone:918-324-5365
Mailing Address - Fax:918-324-5003
Practice Address - Street 1:30899 S 417TH WEST AVE
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:OK
Practice Address - Zip Code:74028-2505
Practice Address - Country:US
Practice Address - Phone:918-324-5365
Practice Address - Fax:918-324-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)