Provider Demographics
NPI:1710513361
Name:JOSHUA E PARKER
Entity Type:Organization
Organization Name:JOSHUA E PARKER
Other - Org Name:PASSAGES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:740-479-0067
Mailing Address - Street 1:2984 COUNTY ROAD 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-8832
Mailing Address - Country:US
Mailing Address - Phone:740-479-0067
Mailing Address - Fax:
Practice Address - Street 1:3014 CHAMPION DR
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-9343
Practice Address - Country:US
Practice Address - Phone:740-479-0067
Practice Address - Fax:304-900-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty