Pathways of Oklahoma Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PATHWAYS OF OKLAHOMA INC

Practice address

134 N 12TH Ave
Durant, OK 74701-4718

Phone

(580) 924-6363

Fax

(580) 924-0379

NPI assigned

Dec 12, 2006

Organization subpart

Yes

Parent organization

PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nancy Poe

Title

Contract Administrator

Phone

(520) 570-1460

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PROVIDENCE OF OKLAHOMA Former legal business name

Part of

Camelot Care Centers LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1821159922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154607",
            "telephone_number": "520-570-1460",
            "fax_number": "520-745-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N 12TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014718",
            "telephone_number": "580-924-6363",
            "fax_number": "580-924-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS OF OKLAHOMA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CONTRACT ADMINISTRATOR",
        "authorized_official_telephone_number": "520-570-1460"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100750190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE OF OKLAHOMA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cynthia Dawn Parks
• Christy Diann Parsons
• Billie Sue Paskin
• Justin Aaron Rivera Patawaran, DO
• Karen Pate, CM 1
• Patriot Anesthesia LLC
• Lance A Patterson, P.T.
• Stacy Marie Patterson
• Stormy M Patterson
• Thuresa Gaylene Patterson, PHYSICAL THERAPIS

• Medical Specialty Clinic/Center in Durant, OK
• Providers in Durant, OK by specialty
• Medical Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.