# PATHWAYS OF OKLAHOMA INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.
- **Other names:** PROVIDENCE OF OKLAHOMA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821159922
- **Legal business name:** PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.
- **Authorized official:** NANCY POE (CONTRACT ADMINISTRATOR)
- **Authorized official phone:** (520) 570-1460

## Contact information

- **Practice address:** 134 N 12TH AVE, DURANT, OK 74701-4718
- **Practice address phone:** (580) 924-6363
- **Practice address fax:** (580) 924-0379
- **Mailing address:** 1161 N EL DORADO PL, TUCSON, AZ 85715-4607
- **Mailing address phone:** (520) 570-1460
- **Mailing address fax:** (520) 745-0638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 10/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100750190A | — | OK |