PATHWAYS OF ARIZONA LLC NPI 1457645038

NPI Information

NPI: 1457645038
Provider Name: PATHWAYS OF ARIZONA, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3818 W 16TH ST BLDG 5
YUMA, AZ
ZIP 85364
Phone: (928) 317-0177
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PATHWAYS OF ARIZONA, LLC is a mental health (including community mental health center) clinic center in Yuma, AZ. PATHWAYS OF ARIZONA, LLC NPI is 1457645038. The provider is registered as an organization entity type.

The provider's business location address is:

3818 W 16TH ST BLDG 5
YUMA, AZ
ZIP 85364-107
Phone: (928) 317-0177
Fax: (928) 783-0522

The provider's authorized official is Nancy Poe .
The authorized official title is Contracts Adminstrator and has the following contact phone number (520) 570-1460.

The enumeration date for this NPI number is 6/1/2011 and was last updated on 8/16/2023.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	OTC6975	ARIZONA	Yes

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
1	000283	MEDICAID	ARIZONA
2	616841	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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