| Pathway Health Clinic | |
|
636 Hampshire St Suite #201 Quincy IL 62301-3054 | |
| (217) 224-6877 | |
| (217) 224-6895 |
| Full Name | Pathway Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 636 Hampshire St, Quincy, Illinois |
| Authorized Official Name and Position | Phillip Lewis Begley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2172246877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Health Clinic 636 Hampshire St Suite #201 Quincy IL 62301-3054 Ph: (217) 224-6877 | Pathway Health Clinic 636 Hampshire St Suite #201 Quincy IL 62301-3054 Ph: (217) 224-6877 |
| NPI Number | 1659427797 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 10/26/2018 |
| Medicare PECOS PAC ID | 8820236748 |
|---|---|
| Medicare Enrollment ID | O20130604000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659427797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gina Dietrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184648974 PECOS PAC ID: 2860448347 Enrollment ID: I20050328000968 |
| Provider Name | Thomas Harold Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912984527 PECOS PAC ID: 0042308173 Enrollment ID: I20100610001001 |
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