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Active NPI 1104063312 Organization (Entity Type 2)

Glover Elementary School

Public Health or Welfare • Broken Bow, OK

About Glover Elementary School NPI 1104063312 Summary

Glover Elementary School is a verified healthcare organization specializing in Public Health or Welfare operating in Broken Bow, OK. Located at RR 3 BOX 385, this facility provides patient care and medical services under National Provider Identifier (NPI) 1104063312.

Administrative operations and authorized compliance are overseen by Mike Converse (Superintendent).

Facility Location & Contact Primary Location

Facility Address

Rr 3 Box 385

Broken Bow, OK 747289572

Telephone 5804203232

Authorized Official Information

Authorized Contact Name

Mike Converse

Title / Role

Superintendent

Official Telephone

5804203232

Facility Classifications & Specialties

Public Health or Welfare Primary Taxonomy

NUCC Taxonomy Code: 251K00000X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active January 09, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 09, 2009

Registered at RR 3 BOX 385, BROKEN BOW, OK 747289572 (Tel: 5804203232)

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Updated Business Mailing Address January 09, 2009

Registered at RR 3 BOX 385, BROKEN BOW, OK 747289572 (Tel: 5804203232)

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Organization / Clinic Name Updated January 09, 2009

Operating as GLOVER ELEMENTARY SCHOOL

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2009

Public Health or Welfare

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Initial NPI Registration & Enumeration January 09, 2009

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1104063312
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 09, 2009
Last Update: January 09, 2009

Mailing Address

Rr 3 Box 385

Broken Bow, OK 747289572

Phone: 5804203232

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.