Provider Demographics
NPI:1760108138
Name:HAMPSHIRE COUNTY PATHWAYS
Entity Type:Organization
Organization Name:HAMPSHIRE COUNTY PATHWAYS
Other - Org Name:WVCORR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMBLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-359-2185
Mailing Address - Street 1:134 W SIOUX LN
Mailing Address - Street 2:
Mailing Address - City:ROMNEY
Mailing Address - State:WV
Mailing Address - Zip Code:26757-1459
Mailing Address - Country:US
Mailing Address - Phone:304-359-2185
Mailing Address - Fax:
Practice Address - Street 1:134 W SIOUX LN
Practice Address - Street 2:
Practice Address - City:ROMNEY
Practice Address - State:WV
Practice Address - Zip Code:26757-1459
Practice Address - Country:US
Practice Address - Phone:304-359-2185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty