GASTON LINCOLN CLEVELAND MHDDSA PROGRAM NPI 1073639209

NPI Information

  • NPI: 1073639209
  • Provider Name: GASTON LINCOLN CLEVELAND MHDDSA PROGRAM
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Doing Business As: PATHWAYS
  • Address: 901 S NEW HOPE RD
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 884-2501

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NPI Details

GASTON LINCOLN CLEVELAND MHDDSA PROGRAM is a public health or welfare in Gastonia, NC. GASTON LINCOLN CLEVELAND MHDDSA PROGRAM NPI is 1073639209. The provider is registered as an organization entity type.
The provider Is Doing Business As Pathways.

The provider's business location address is:

901 S NEW HOPE RD
GASTONIA, NC
ZIP 28054-829
Phone: (704) 884-2501
Fax: (704) 854-4203

The provider's authorized official is Rhett Melton .
The authorized official title is Area Director/ceo and has the following contact phone number (704) 842-6328.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 11/24/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18301438DMEDICAIDNORTH CAROLINA
28301438LMEDICAIDNORTH CAROLINA
38301438MMEDICAIDNORTH CAROLINA
48301438OMEDICAIDNORTH CAROLINA
58301438PMEDICAIDNORTH CAROLINA
68301438GMEDICAIDNORTH CAROLINA
78301438CMEDICAIDNORTH CAROLINA
88301438QMEDICAIDNORTH CAROLINA
98301438BMEDICAIDNORTH CAROLINA
108301438MEDICAIDNORTH CAROLINA

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: 3/30/2025

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