| Pathways Community Behavioral Healthcare | |
|
851e 5th Street,suite 132 Washington MO 63090-3128 | |
| (636) 239-8397 | |
| Not Available |
| Full Name | Pathways Community Behavioral Healthcare |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 851e 5th Street,suite 132, Washington, Missouri |
| Authorized Official Name and Position | Teresa Porter (CREDENTIALING/CONTRACTING MANAGER) |
| Authorized Official Contact | 6608908186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Community Behavioral Healthcare 1800 Community Clinton MO 64735-8804 Ph: (660) 890-8186 | Pathways Community Behavioral Healthcare 851e 5th Street,suite 132 Washington MO 63090-3128 Ph: (636) 239-8397 |
| NPI Number | 1891980827 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891980827 | NPI | - | NPPES |
| 504605320 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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