| Pathway Healthcare | |
|
190 S Oak Ave Bldg.2-1 Oakdale CA 95361-3528 | |
| (209) 848-8410 | |
| (209) 848-0732 |
| Full Name | Pathway Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 190 S Oak Ave, Oakdale, California |
| Authorized Official Name and Position | Marc C Stoner (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 2098488410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Healthcare 190 S Oak Ave Bldg. 2-1 Oakdale CA 95361-3528 Ph: (209) 848-8410 | Pathway Healthcare 190 S Oak Ave Bldg.2-1 Oakdale CA 95361-3528 Ph: (209) 848-8410 |
| NPI Number | 1982797239 |
|---|---|
| Provider Enumeration Date | 10/01/2006 |
| Last Update Date | 08/15/2013 |
| Medicare PECOS PAC ID | 7911902853 |
|---|---|
| Medicare Enrollment ID | O20060927000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982797239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | NA (* (Not Available)) | Primary |
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