Organization
GRAND GATEWAY ECONOMIC DEVELOPMENT ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERRIN CLOCKER BSBA (FINANCIAL OFFICER)
(918) 783-5761
Entity
Organization
Contact information
Practice address
333 SOUTH OAK STREET, BIG CABIN, OK 74332-0502
(918) 783-5761
(918) 783-5829
Mailing address
PO BOX B, BIG CABIN, OK 74332-0502
(918) 783-5761
(918) 783-5798
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
100679410D
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100679410D
—
OK
Enumeration date
11/11/2008
Last updated
11/11/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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