Pathways Community Behavioral Healthcare | |
546 1st Capitol Dr Suite 1 Saint Charles MO 63301-2789 | |
(636) 946-4000 | |
Not Available |
Full Name | Pathways Community Behavioral Healthcare |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 546 1st Capitol Dr, Saint Charles, Missouri |
Authorized Official Name and Position | Teresa Porter (CREDENTIALING/CONTRACTING MANAGER) |
Authorized Official Contact | 6608908156 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pathways Community Behavioral Healthcare 1800 Community Clinton MO 64735-8804 Ph: (660) 890-8186 | Pathways Community Behavioral Healthcare 546 1st Capitol Dr Suite 1 Saint Charles MO 63301-2789 Ph: (636) 946-4000 |
NPI Number | 1235324260 |
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Provider Enumeration Date | 09/12/2007 |
Last Update Date | 01/17/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235324260 | NPI | - | NPPES |
504605346 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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