OrganizationActive
Bridgeway, Inc.
NPI 1093930497 · Substance Abuse Rehabilitation Facility · Ponca City, OK
Provider details
- NPI number
- 1093930497
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Stan Paynter, President(580) 762-1462
Specialties & taxonomies
Residential Treatment Facilities
Practice location
620 W Grand Ave
Ponca City, OK 74601-5123
Phone: (580) 762-1462
Fax: (580) 765-7299
Approximate (ZIP-level) locationGet directions
Mailing address
620 W. Grand Ave
Ponca City, OK 74601
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.