GATEWAY ADDICTION CENTER LLC (NPI# 1578011565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578011565 |
| Entity Type | Organization |
| Organization Name | GATEWAY ADDICTION CENTER LLC |
| Practice Address |
304 Boulder St Pawnee OK 74058-4028 |
| Mailing Address |
Po Box 334 Bixby OK 74008-0334 |
| Practice Telephone | 9187710437 |
| Mailing Telephone | 9187710437 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | MR. ALBERT F SANCHEZ (CEO) |
| Authorized Official Telephone | 4792632690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
304 BOULDER ST |
| City | PAWNEE |
| State | OK |
| Zip Code | 74058-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619954088 | Gordon P Laird | Surgery | 304 Boulder St, Pawnee, OK 74058-4028 | 2005-12-28 |
| 1871039396 | Northern Oklahoma Addiction Clinic | Clinic/Center | 304 Boulder St, Pawnee, OK 74058-4028 | 2017-01-08 |
| 1295283018 | Pain Relief Center of Oklahoma | Anesthesiology | 304 Boulder St, Pawnee, OK 74058-4028 | 2016-09-21 |
| 1174892590 | Pawnee Health & Wellness Clinic LLC | Physician Assistant | 304 Boulder St, Pawnee, OK 74058-4028 | 2011-12-14 |
| 1942472311 | Gordon P Laird,do | Family Medicine | 304 Boulder St, Pawnee, OK 74058-4028 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316214430 | Tonya L Houston | Nurse Practitioner | Pawnee Indian Health Center, 1201 Heritage Cir, Pawnee, OK 74058 | 2011-11-17 |
| 1659662153 | Christie Factor | Counselor | 540 Illinois, Pawnee, OK 74058 | 2011-05-02 |
| 1366476368 | Henry J Kaehler Jr Dds PC | Clinic/Center | 401 Forest St, Pawnee, OK 74058 | 2006-07-10 |
| 1003892621 | Brady Gene Englestead | Pediatrics | 1201 Heritage Circle, Pawnee, OK 74058 | 2005-12-15 |
| 1598039620 | Cah Acquisition Company 12 LLC | Clinic/Center | 535 6th St, Pawnee, OK 74058 | 2012-03-07 |
| 1639453665 | Creoks Mental Health Services | Community/Behavioral Health | 540 Illinois St, Pawnee, OK 74058 | 2011-10-10 |
| 1659473080 | Henry John Kaehler Jr. | Dentist | 401 Forest St, Pawnee, OK 74058 | 2006-09-05 |
| 1578503611 | William Lester Carruth | Dentist | 481 Agency Road, Pawnee, OK 74058-0130 | 2006-06-07 |
| 1821275744 | Patsy Ann Cooper | Counselor | 540 Illinois St, Pawnee, OK 74058-2036 | 2008-01-22 |
| 1225158314 | Cockrell Eyecare Center | Optometrist | 534 Illinois St, Pawnee, OK 74058-2036 | 2007-03-30 |
| Find all providers in zip 74058 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437198843 | United Community Action Program, Inc. | Clinic/Center | 600 Denver St, Pawnee, OK 74058-3522 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063607117 | Kickapoo Behavioral Health | Clinic/Center | 404 North Highway 102, Mcloud, OK 74851 | 2007-09-12 |
| 1649460650 | Payne County Drug Court, Inc. | Clinic/Center | 217 W 5th Ave, Suite 7, Stillwater, OK 74074-4056 | 2007-07-26 |
| 1174739130 | Community Action Agency Turning Point | Clinic/Center | 1607 Sw 15th St, Oklahoma City, OK 73108-6803 | 2007-05-15 |
| 1528122355 | Arbuckle Life Solutions, Inc. | Clinic/Center | 9 10th Ave Nw, Ardmore, OK 73401-5929 | 2006-12-19 |
| 1144331802 | Gateway To Prevention and Recovery, Inc. | Clinic/Center | 1010 E 45th St, Shawnee, OK 74804-2202 | 2006-08-31 |
| 1801826706 | Valley Hope Association | Clinic/Center | 1422 E 71 St, Ste F, Tulsa, OK 74136-5060 | 2006-07-04 |
| 1184654089 | Valley Hope Association | Clinic/Center | 6110 Nw 63rd St, Oklahoma City, OK 73132-7526 | 2006-07-04 |
| 1649737990 | Compass Clinic | Clinic/Center | 701 Ne 36th St, Oklahoma City, OK 73105-7203 | 2019-02-22 |
| 1699016899 | The Center for Therapeutic Interventions | Clinic/Center | 4100 Se Adams Rd, Bartlesville, OK 74006-8437 | 2013-03-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.