Healthcare Provider Details

I. General information

NPI: 1851007256
Provider Name (Legal Business Name): PATHWAY FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 G ST
BAKERSFIELD CA
93301-2814
US

IV. Provider business mailing address

PO BOX 888
BAKERSFIELD CA
93302-0888
US

V. Phone/Fax

Practice location:
  • Phone: 661-325-2570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: RICK SMITH
Title or Position: CEO/EXECUTIVE DIRECTOR
Credential:
Phone: 661-325-2570