Provider Demographics
NPI:1538249719
Name:GLENCOE PUBLIC SCHOOL
Entity type:Organization
Organization Name:GLENCOE PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN ASST TO THE SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-669-2261
Mailing Address - Street 1:201 E LONE CHIMNEY RD
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:OK
Mailing Address - Zip Code:74032-1083
Mailing Address - Country:US
Mailing Address - Phone:580-669-2261
Mailing Address - Fax:580-669-2961
Practice Address - Street 1:201 E LONE CHIMNEY RD
Practice Address - Street 2:
Practice Address - City:GLENCOE
Practice Address - State:OK
Practice Address - Zip Code:74032-1083
Practice Address - Country:US
Practice Address - Phone:580-669-2261
Practice Address - Fax:580-669-2961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare