GASTON LINCOLN CLEVELAND MHDDSA PROGRAM NPI 1073639209

NPI Information

NPI: 1073639209
Provider Name: GASTON LINCOLN CLEVELAND MHDDSA PROGRAM

Doing Business As: PATHWAYS

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
901 S NEW HOPE RD
GASTONIA, NC
ZIP 28054
Phone: (704) 884-2501
Get Directions

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
1	251K00000X	Public Health or Welfare				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
1	8301438D	MEDICAID	NORTH CAROLINA
2	8301438L	MEDICAID	NORTH CAROLINA
3	8301438M	MEDICAID	NORTH CAROLINA
4	8301438O	MEDICAID	NORTH CAROLINA
5	8301438P	MEDICAID	NORTH CAROLINA
6	8301438G	MEDICAID	NORTH CAROLINA
7	8301438C	MEDICAID	NORTH CAROLINA
8	8301438Q	MEDICAID	NORTH CAROLINA
9	8301438B	MEDICAID	NORTH CAROLINA
10	8301438	MEDICAID	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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