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PATHWAY HEALTHCARE ALABAMA LLC NPI 1770085441


NPI Information

NPI: 1770085441
Provider Name: PATHWAY HEALTHCARE ALABAMA LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 01D2143012

Address:
22765 STATE HIGHWAY 59 S
ROBERTSDALE, AL
ZIP 36567
Phone: (251) 947-2320
Get Directions

PATHWAY HEALTHCARE ALABAMA LLC is an addiction medicine family medicine in Robertsdale, AL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. PATHWAY HEALTHCARE ALABAMA LLC NPI is 1770085441. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22765 STATE HIGHWAY 59 S
ROBERTSDALE, AL
ZIP 36567-197
Phone: (251) 947-2320

The provider's authorized official is Krystal L Spencer .
The authorized official title is Business Office Manager and has the following contact phone number (731) 265-6025.

The CLIA number assigned to this NPI record is 01D2143012 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 3/8/2018.


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
1207QA0401XFamily MedicineAddiction MedicineYes

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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