Provider Demographics
NPI:1124863402
Name:PHYSICIANS PATHWAY HEALTHCARE, INC.
Entity type:Organization
Organization Name:PHYSICIANS PATHWAY HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASHMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-666-5323
Mailing Address - Street 1:3341 JUDAH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1324
Mailing Address - Country:US
Mailing Address - Phone:800-666-5323
Mailing Address - Fax:844-686-2020
Practice Address - Street 1:3341 JUDAH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1324
Practice Address - Country:US
Practice Address - Phone:800-666-5323
Practice Address - Fax:844-686-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No385H00000XRespite Care FacilityRespite Care