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Pathway Healthcare, LLC

Details

Name: Pathway Healthcare, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 15 Aug 2016 (8 years ago) (Companies founded in August 2016)
Entity Number: 000-377-001
Register Number: 000377001
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 2911 TURTLE CREEK BLVD STE 1240DALLAS, TX 75219
Registered Office Street Address: 2 NORTH JACKSON ST STE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558811562 2016-10-13 2016-11-10 2911 TURTLE CREEK BLVD STE 1240, DALLAS, TX, 752196277, US 20 HUGHES RD STE 101, MADISON, AL, 357582434, US

Contacts

Phone +1 256-325-1556

Authorized person

Name DAN BOECKMAN
Role MANAGER
Phone 2145227296

Taxonomy

Taxonomy Code 207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary Yes

Agent

Name Role
CAPITOL CORPORATE SERVICES INC. Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State