Pathways Medical Llc

LBN: Pathways Medical Llc
Pathways Medical Llc is an health care organization with primary practice located at 13707 Fairhill Ave , Edmond OK 73013. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Pathways Medical Llc can be contacted via phone (405) 607-4041, or through Randall, Zachory via phone (405) 607-4041.

Contact Information

Primary practice address
13707 Fairhill Ave Edmond OK 73013
Phone: (405) 607-4041
Fax: (405) 463-0090
Website:
Map and Directions
Authorized official contact:
Name: Randall, Zachory LPC, LADC
Phone: (405) 607-4041

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1194185090
LBN Legal business name Pathways Medical Llc
DBA Doing business as
Authorized official Randall, Zachory LPC, LADC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2016
Last updated May 18th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194185090 NPPES
Oklahoma MEDICAID 200640210A

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