PATHWAYS OF OKLAHOMA INC - NPI 1821159922 - Clinic/Center in Durant, OK

Q: What is Pathways Of Oklahoma Inc's NPI number?

The NPI number for Pathways Of Oklahoma Inc is 1821159922. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider was formerly known as Providence Of Oklahoma.

Q: What is Pathways Of Oklahoma Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

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About Pathways Of Oklahoma Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHWAYS OF OKLAHOMA INC (NPI 1821159922), doing business as Providence Of Oklahoma, is a healthcare organization registered as a medical specialty in Durant, Oklahoma and active in the NPI registry since December 2006. The organization lists Nancy Poe, Contract Administrator, as its authorized official.

NPPES Registry Identity

NPI1821159922

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NamePATHWAYS OF OKLAHOMA INC

Location Address134 N 12TH AVEDurant, OK 74701-4718

Mailing Address1161 N El Dorado PlTucson, AZ 85715-4607 · (520) 570-1460 · Fax (520) 745-0638

Phone(580) 924-6363

Fax(580) 924-0379

Organization SubpartYesParent: Pathways Health And Community Support, Llc.

Authorized OfficialNancy PoeContract Administrator · (520) 570-1460

Enumeration DateDecember 12, 2006

Last NPPES UpdateOctober 17, 2017

✔ NPI 1821159922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

134 N 12TH AVE, Durant, OK 74701

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Other Names 1

Former Legal Business NameProvidence Of Oklahoma

Other Identifiers 2

Medicare ID-Type Unspecified400522255OK · Doctor Medicare Group

Medicaid100750190AOK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVIDENCE SERVICE CORPORATION OF OKLAHOMA

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