Healthcare Provider Details

I. General information

NPI: 1639091564
Provider Name (Legal Business Name): BOARD OF EDUCATION MILL CREEK SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 S CHICKASAW AVE
MILL CREEK OK
74856-0118
US

IV. Provider business mailing address

PO BOX 118
MILL CREEK OK
74856-0118
US

V. Phone/Fax

Practice location:
  • Phone: 580-384-5514
  • Fax:
Mailing address:
  • Phone: 580-384-5514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: AARON BERATTO
Title or Position: HIGH SCHOOL PRINCIPAL
Credential:
Phone: 580-384-5514