Provider Demographics
NPI:1952694168
Name:HEALTHWAYS, INC
Entity Type:Organization
Organization Name:HEALTHWAYS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCC
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:BOHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-375-8995
Mailing Address - Street 1:1800 UPPER FORDE LN
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-2500
Mailing Address - Country:US
Mailing Address - Phone:410-374-9399
Mailing Address - Fax:
Practice Address - Street 1:1800 UPPER FORDE LN
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-2500
Practice Address - Country:US
Practice Address - Phone:410-374-9399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR161112163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty