NPIMap

Organization Active NPI

Grand Gateway Economic Development Association

  • Case Management Agency
  • Big Cabin, OK
National Provider Identifier
1891949392
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
100679410D Issued in OK
Legal business name
GRAND GATEWAY ECONOMIC DEVELOPMENT ASSOCIATION
Practice address
333 South Oak Street
Big Cabin, OK 74332-0502
Phone
(918) 783-5761
Fax
(918) 783-5829
NPI assigned
Nov 11, 2008
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Mrs. Errin Clocker, BSBA
Title
Financial Officer
Phone
(918) 783-5761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 100679410D OK Primary

Addresses

Primary practice location

333 South Oak Street
Big Cabin, OK 74332-0502

Mailing address

PO Box B
Big Cabin, OK 74332-0502
Phone (918) 783-5761

Other identifiers 1

IdentifierTypeStateIssuer
100679410DMedicaidOK

National Provider Directory

National Provider Directory

Locations

333 S Oak St
Big Cabin, OK 74332
Phone (918) 783-5761

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1891949392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "BIG CABIN",
            "state": "OK",
            "postal_code": "743320502",
            "telephone_number": "918-783-5761",
            "fax_number": "918-783-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SOUTH OAK STREET",
            "city": "BIG CABIN",
            "state": "OK",
            "postal_code": "743320502",
            "telephone_number": "918-783-5761",
            "fax_number": "918-783-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND GATEWAY ECONOMIC DEVELOPMENT ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "CLOCKER",
        "authorized_official_first_name": "ERRIN",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "918-783-5761",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "100679410D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100679410D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Cabin, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.