Bridgewater Behavioral Health, Llc

LBN: Bridgewater Behavioral Health, Llc
Bridgewater Behavioral Health, Llc is an health care organization with primary practice located at 902 Columbus St , Rapid City SD 57701-3543. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Bridgewater Behavioral Health, Llc can be contacted via phone (605) 791-1514, or through Goschke, Genni L via phone (605) 791-1514.

Contact Information

Primary practice address
902 Columbus St Rapid City SD 57701-3543
Phone: (605) 791-1514
Fax: (844) 831-2349
Website:
Map and Directions
Authorized official contact:
Name: Goschke, Genni L PSY.D.
Phone: (605) 791-1514

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 479 South Dakota

Profile Details

NPI number 1588048201
LBN Legal business name Bridgewater Behavioral Health, Llc
DBA Doing business as
Authorized official Goschke, Genni L PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2015
Last updated Jul 13th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588048201 NPPES
South Dakota MEDICAID 1679550065

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