Provider Demographics
NPI:1982615043
Name:PATHWAYS INC
Entity Type:Organization
Organization Name:PATHWAYS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-329-8588
Mailing Address - Street 1:PO BOX 790
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-0790
Mailing Address - Country:US
Mailing Address - Phone:606-329-8588
Mailing Address - Fax:606-329-8195
Practice Address - Street 1:1212 BATH AVE FL 8
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2696
Practice Address - Country:US
Practice Address - Phone:606-329-8588
Practice Address - Fax:606-329-8195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
334956OtherVALUEOPTIONS
KY27010016Medicaid
KY33900168Medicaid
KY17000142Medicaid
KY30610026Medicaid
KY29000015Medicaid
KY453033849Medicaid
KY28010015Medicaid
5204Medicare ID - Type UnspecifiedROWAN CO
KY30610026Medicaid
5199Medicare ID - Type UnspecifiedMENIFEE CO
5196Medicare ID - Type UnspecifiedELLIOTT CO
KY33900168Medicaid
334956OtherVALUEOPTIONS
5202Medicare ID - Type UnspecifiedHILLCREST HALL
5193Medicare ID - Type UnspecifiedBOYD CO HILL
KY28010015Medicaid
KY27010016Medicaid
5201Medicare ID - Type UnspecifiedMONTGOMERY CO
KY453033849Medicaid