| Pathways Community Clinic LLC | |
|
1634 E Minnesota St Indianapolis IN 46203-2842 | |
| (317) 993-2473 | |
| Not Available |
| Full Name | Pathways Community Clinic LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1634 E Minnesota St, Indianapolis, Indiana |
| Authorized Official Name and Position | Angel Bumphus (ADMINISTRATOR) |
| Authorized Official Contact | 3179932473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Community Clinic LLC 1634 E Minnesota St Indianapolis IN 46203-2842 Ph: (317) 993-2473 | Pathways Community Clinic LLC 1634 E Minnesota St Indianapolis IN 46203-2842 Ph: (317) 993-2473 |
| NPI Number | 1194611665 |
|---|---|
| Provider Enumeration Date | 06/13/2025 |
| Last Update Date | 04/30/2026 |
| Certification Date | 04/30/2026 |
| Medicare PECOS PAC ID | 3678040946 |
|---|---|
| Medicare Enrollment ID | O20260423001850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194611665 | NPI | - | NPPES |
| Provider Name | Ardrienne H Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770633034 PECOS PAC ID: 4587630470 Enrollment ID: I20040902000350 |
| Provider Name | Bryant King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720010341 PECOS PAC ID: 4688663073 Enrollment ID: I20060109000649 |
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