Providence Of Oklahoma

LBN: Pathways Of Oklahoma Inc
Providence Of Oklahoma is an health care organization with primary practice located at 134 N 12Th Ave , Durant OK 74701-4718. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Pathways Of Oklahoma Inc can be contacted via phone (580) 924-6363, or through Poe, Nancy via phone (520) 570-1460.

Contact Information

Primary practice address
134 N 12Th Ave Durant OK 74701-4718
Phone: (580) 924-6363
Fax: (580) 924-0379
Website:
Map and Directions
Authorized official contact:
Name: Poe, Nancy
Phone: (520) 570-1460

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1821159922
LBN Legal business name Pathways Of Oklahoma Inc
DBA Doing business as Providence Of Oklahoma
Authorized official Poe, Nancy
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 12th, 2006
Last updated Oct 17th, 2017 - about 7 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 1821159922 NPPES
Oklahoma MEDICAID 100750190A

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