NPIMap

Organization Active NPI

Gaston Lincoln Cleveland Mhddsa Progam

Doing business as Pathways

  • Public Health or Welfare Agency
  • Gastonia, NC
National Provider Identifier
1982720116
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GASTON LINCOLN CLEVELAND MHDDSA PROGAM
Doing business as
Pathways
Practice address
901 S New Hope Rd
Gastonia, NC 28054-5829
Phone
(704) 884-2501
Fax
(704) 854-4203
NPI assigned
Mar 21, 2007
Last updated
Nov 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Mr. Rhett Melton, MBA
Title
Area Director/Ceo
Phone
(704) 842-6328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

901 S New Hope Rd
Gastonia, NC 28054-5829

Mailing address

901 S New Hope Rd
Gastonia, NC 28054-5829
Phone (704) 884-2501

Other identifiers 3

IdentifierTypeStateIssuer
6005620MedicaidNC
6005621MedicaidNC
6005622MedicaidNC

Other names 1

  • Pathways Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Partners Behavioral Health Management7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1982720116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545829",
            "telephone_number": "704-884-2501",
            "fax_number": "704-854-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545829",
            "telephone_number": "704-884-2501",
            "fax_number": "704-854-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON LINCOLN CLEVELAND MHDDSA PROGAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "RHETT",
        "authorized_official_title_or_position": "AREA DIRECTOR/CEO",
        "authorized_official_telephone_number": "704-842-6328",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005620",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005621",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005622",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.