PATHWAY FAMILY CENTER (NPI# 1497862098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497862098 |
Entity Type | Organization |
Organization Name | PATHWAY FAMILY CENTER |
Practice Address |
6405 Castleway Ct. Ste. 102 Indianapolis IN 46250 |
Practice Telephone | 3175856953 |
Practice Fax Number | 5864650109 |
Mailing Telephone | 3175856953 |
Mailing Fax Number | 5864650109 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. PATRICIA EHLERT (CLAIMS ADMINISTRATOR) |
Authorized Official Telephone | 2484430105 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
630740 | MI | Ambulatory Health Care Facilities |
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
12497 | OH | Ambulatory Health Care Facilities |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1400-0-ASR | IN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | ANTHEM BLUE CROSS | 000000308672 | 01 |
MI | BCBSM | 20498 | 01 |
Street Address |
6405 CASTLEWAY CT. STE. 102 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46250 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
Find all providers in zip 46250 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215484381 | Cornerstone of Indianapolis, LLC | Clinic/Center | 5610 Crawfordsville Road, Suite 1700, Indianapolis, IN 46224 | 2016-09-07 |
1700241528 | Brothers United, Inc. | Clinic/Center | 3737 N Meridian St, Suite 401, Indianapolis, IN 46208-4347 | 2015-12-21 |
1659755544 | Bethlehem House Residence | Clinic/Center | 130 E 30th St, Indianapolis, IN 46205-3904 | 2015-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285265470 | Our Place Drug and Alcohol Education Services, Inc. | Clinic/Center | 400 E Spring St, New Albany, IN 47150-2920 | 2020-01-28 |
1083250542 | Avenues Recovery Center of Fort Wayne, LLC | Clinic/Center | 2626 Fairfield Ave, Fort Wayne, IN 46807-1215 | 2019-11-20 |
1518447309 | Wellpoint Recovery LLC | Clinic/Center | 3930 Mezzanine Dr Ste B, Lafayette, IN 47905-8646 | 2018-08-21 |
1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
1811483308 | Indiana Recovery Centers LLC | Clinic/Center | 1130 W Jefferson St Ste B, Franklin, IN 46131-2760 | 2018-07-08 |
1992221949 | The Happiness Project, LLC | Clinic/Center | 8412 Leesburg Rd, Fort Wayne, IN 46818-9125 | 2017-08-21 |
1457897647 | Pinnacletreatment Centers In-1, LLC | Clinic/Center | 2060 North State Rd 1, Cambridge City, IN 47327 | 2017-01-11 |
1326494758 | Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works Merrillville | Clinic/Center | 201 W 89th Ave, Merrillville, IN 46410-6283 | 2016-05-04 |
1568834992 | Parkdale Center LLC | Clinic/Center | 350 Indian Boundary Rd, Chesterton, IN 46304-1511 | 2015-10-26 |
1194108969 | A New Day Treatment Services Inc | Clinic/Center | 2731 Albright Rd, Kokomo, IN 46902-3996 | 2015-06-29 |
Find all providers with the same taxonomy |
City | INDIANAPOLIS |
Zip Code | 46250 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.