Grand Gateway Economic Development Association

LBN: Grand Gateway Economic Development Association
Grand Gateway Economic Development Association is an health care organization with primary practice located at 333 South Oak Street , Big Cabin OK 74332-0502. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Grand Gateway Economic Development Association can be contacted via phone (918) 783-5761, or through Clocker, Errin via phone (918) 783-5761.

Contact Information

Primary practice address
333 South Oak Street Big Cabin OK 74332-0502
Phone: (918) 783-5761
Fax: (918) 783-5829
Website:
Map and Directions
Authorized official contact:
Name: Clocker, Errin BSBA
Phone: (918) 783-5761

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 100679410D Oklahoma

Profile Details

NPI number 1891949392
LBN Legal business name Grand Gateway Economic Development Association
DBA Doing business as
Authorized official Clocker, Errin BSBA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2008
Last updated Nov 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891949392 NPPES
Oklahoma MEDICAID 100679410D

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