Provider Demographics
NPI:1053855122
Name:PATHWAY HEALTHCARE ALABAMA LLC
Entity Type:Organization
Organization Name:PATHWAY HEALTHCARE ALABAMA LLC
Other - Org Name:PATHWAY HEALTHCARE HARTSELLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-208-9312
Mailing Address - Street 1:1000 URBAN CENTER DR
Mailing Address - Street 2:STE 600
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242
Mailing Address - Country:US
Mailing Address - Phone:615-498-3788
Mailing Address - Fax:
Practice Address - Street 1:48 MEDICAL PARK DR E STE 453
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3472
Practice Address - Country:US
Practice Address - Phone:844-728-4929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATHWAY HEALTHCARE ALABAMA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty