| Pathways Community Behavioral Healthcare | |
|
19515 Brune Pkwy Warrenton MO 63383-6505 | |
| (636) 456-1500 | |
| Not Available |
| Full Name | Pathways Community Behavioral Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 19515 Brune Pkwy, Warrenton, Missouri |
| Authorized Official Name and Position | Teresa Porter (CREDENTIALING 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) 890-8186 | Pathways Community Behavioral Healthcare 19515 Brune Pkwy Warrenton MO 63383-6505 Ph: (636) 456-1500 |
| NPI Number | 1144415175 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 01/17/2019 |
| Medicare PECOS PAC ID | 1951206754 |
|---|---|
| Medicare Enrollment ID | O20141209002387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144415175 | NPI | - | NPPES |
| 504605304 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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