Pathway House Women'S Program, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

809746-2-CDT Issued in MN

Legal business name

PATHWAY HOUSE WOMEN'S PROGRAM, INC

Practice address

103 6TH Ave SW
Rochester, MN 55902-6260

Phone

(507) 287-6121

Fax

(507) 287-0303

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gerald C Powers

Title

Executive Director

Phone

(507) 287-6121

Specialties & licenses 1

Addresses

Tax ID family

Pathway House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pathway House, Inc

  • Substance Abuse Rehabilitation Facility
  • Rochester, MN
  • NPI 1992803316
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164520508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6610",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559036610",
            "telephone_number": "507-287-6121",
            "fax_number": "507-287-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 6TH AVE SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559026260",
            "telephone_number": "507-287-6121",
            "fax_number": "507-287-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY HOUSE WOMEN'S PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-287-6121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "809746-2-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahi Akhilesh Patel
• Robin Patel, M.D.
• Sanjay V Patel, M.D.
• Sarah Cashman Patel, OTR
• Shubham Nayankumar Patel, M.B.B.S.
• Pathway House, Inc
• Pathways Residential Center LLC
• Ameya P Patil, MD
• Shivaraj Prakash Patil, MBBS
• Mrinal M Patnaik, MD

• Substance Abuse Rehabilitation Facility in Rochester, MN
• Providers in Rochester, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.