NPIMap

Organization Active NPI

Phoenix Gate Inc

  • Case Management Agency
  • McAlester, OK
National Provider Identifier
1871965723
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PHOENIX GATE INC
Practice address
32 E Cherokee Ave Ste 104
McAlester, OK 74501-5323
Phone
(918) 423-9400
Fax
(918) 423-9402
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
William Stovall
Title
Owner
Phone
(918) 423-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

32 E Cherokee Ave Ste 104
McAlester, OK 74501-5323

Mailing address

32 E Cherokee Ave Ste 104
McAlester, OK 74501-5323
Phone (918) 423-9400

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Gate Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1871965723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E CHEROKEE AVE STE 104",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015323",
            "telephone_number": "918-423-9400",
            "fax_number": "918-423-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E CHEROKEE AVE STE 104",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015323",
            "telephone_number": "918-423-9400",
            "fax_number": "918-423-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX GATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-423-9400"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.