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PATHWAY HOUSE WOMEN'S PROGRAM INC NPI 1164520508


NPI Information

NPI: 1164520508
Provider Name: PATHWAY HOUSE WOMEN'S PROGRAM, INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
103 6TH AVE SW
ROCHESTER, MN
ZIP 55902
Phone: (507) 287-6121
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PATHWAY HOUSE WOMEN'S PROGRAM, INC is a substance abuse rehabilitation facility in Rochester, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PATHWAY HOUSE WOMEN'S PROGRAM, INC NPI is 1164520508. The provider is registered as an organization entity type.

The provider's business location address is:

103 6TH AVE SW
ROCHESTER, MN
ZIP 55902-260
Phone: (507) 287-6121
Fax: (507) 287-0303

The provider's authorized official is Gerald C Powers .
The authorized official title is Executive Director and has the following contact phone number (507) 287-6121.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility809746-2-CDTMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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