Provider Demographics
NPI:1700254737
Name:NEW DAY CLINIC OF CATOOSA, PLLC
Entity Type:Organization
Organization Name:NEW DAY CLINIC OF CATOOSA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-739-4885
Mailing Address - Street 1:PO BOX 2035
Mailing Address - Street 2:
Mailing Address - City:CATOOSA
Mailing Address - State:OK
Mailing Address - Zip Code:74015-2926
Mailing Address - Country:US
Mailing Address - Phone:918-739-4885
Mailing Address - Fax:918-739-4886
Practice Address - Street 1:1755 N HIGHWAY 66
Practice Address - Street 2:SUITE F
Practice Address - City:CATOOSA
Practice Address - State:OK
Practice Address - Zip Code:74015-2716
Practice Address - Country:US
Practice Address - Phone:918-739-4885
Practice Address - Fax:918-739-4886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4542261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200196760BMedicaid