Organization
PATHWAYS OF OKLAHOMA INC
Active
Parent organization
PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.
Other names
PROVIDENCE OF OKLAHOMA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.
Authorized official
NANCY POE (CONTRACT ADMINISTRATOR)
(520) 570-1460
Entity
Organization
Contact information
Practice address
134 N 12TH AVE, DURANT, OK 74701-4718
(580) 924-6363
(580) 924-0379
Mailing address
1161 N EL DORADO PL, TUCSON, AZ 85715-4607
(520) 570-1460
(520) 745-0638
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100750190A
—
OK
Enumeration date
12/12/2006
Last updated
10/17/2017
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