CHARLES HOLLOWAY (NPI# 1417287830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417287830 |
| Entity Type | Individual |
| Full Name | CHARLES HOLLOWAY |
| Practice Address |
205 J T Stites Blvd Sallisaw OK 74955-9301 |
| Practice Telephone | 9187757787 |
| Mailing Telephone | 9187757787 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275838377 | Charles Farrell Holloway IIi | Pharmacist | 47 Sw 17th St Ste A, Ocala, FL 34471-8104 | 2011-01-20 |
| 1063784676 | Charles W Holloway | Physician Assistant | 1775 Access Rd Ste C, Covington, GA 30014-1987 | 2012-01-30 |
| 1285933531 | Charles Edward Holloway | Counselor | 1021 N Broadway, Everett, WA 98201-1405 | 2011-03-24 |
| 1760465413 | Charles H Holloway | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-28 |
| Street Address |
205 J T STITES BLVD |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-9301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063578920 | People Inc. of Sequoyah Co | Clinic/Center | 205 J T Stites Blvd, Sallisaw, OK 74955-9301 | 2006-12-28 |
| 1790288421 | Sonya Denise Simmons | Case Manager/Care Coordinator | 205 J T Stites Blvd, Sallisaw, OK 74955-9323 | 2018-03-08 |
| 1225587314 | Ott Hunter | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955-9323 | 2016-09-29 |
| 1649685371 | Charlotte Williams | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955-9323 | 2014-06-20 |
| 1437436128 | Megan Leigh Parker | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955 | 2011-11-08 |
| 1518273788 | Tierney Lamp | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955-9301 | 2010-08-26 |
| 1780914101 | Teresa Nunez | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955-9301 | 2010-01-07 |
| 1003146457 | Kevin Edwards | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955-9301 | 2010-01-07 |
| 1154651578 | Albis Ramos | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955-9301 | 2010-01-07 |
| 1720318280 | Angie Neal | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955-9301 | 2010-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740656115 | Susan Smith | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-19 |
| 1619383783 | Miriam Wall | Counselor | 205 S J T Stites, Sallisaw, OK 74955-9301 | 2014-07-09 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1497005755 | Johnny Dale Dority I | Counselor | 907 S Walnut St, Sallisaw, OK 74955-6841 | 2012-09-14 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| 1124391859 | Jarrod Neal James | Counselor | 205 South J.t. Stites, Sallisaw, OK 74955 | 2012-02-10 |
| 1407160195 | Sarah Brook Jackson | Counselor | Hc 61 Box 272-4, Sallisaw, OK 74955-9440 | 2010-08-05 |
| 1174842215 | Jessica Randolph | Counselor | 205 S. Jt Stites, Sallisaw, OK 74955-9301 | 2010-05-28 |
| 1164741583 | June Flute | Counselor | 1117 Brown St., Sallisaw, OK 74955 | 2010-05-25 |
| Find all providers in SALLISAW | ||||
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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.