| Pathways Community Behavioral Healthcare | |
|
107 W Broadway St El Dorado Springs MO 64744-1133 | |
| (660) 890-8186 | |
| Not Available |
| Full Name | Pathways Community Behavioral Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 W Broadway St, El Dorado Springs, Missouri |
| Authorized Official Name and Position | Teresa Porter (CREDENTIALING/CONTRACTING MANAGER) |
| Authorized Official Contact | 6608908156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Community Behavioral Healthcare 1800 Community Clinton MO 64735-8804 Ph: (660) 890-8156 | Pathways Community Behavioral Healthcare 107 W Broadway St El Dorado Springs MO 64744-1133 Ph: (660) 890-8186 |
| NPI Number | 1710380688 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 02/10/2022 |
| Medicare PECOS PAC ID | 1951206754 |
|---|---|
| Medicare Enrollment ID | O20141124000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710380688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
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