Bridgeway Inc
LBN: Bridgeway Inc
Bridgeway Inc is an health care organization with primary practice located at 2079 Edgewater Dr , Pekin IL 61554. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Bridgeway Inc can be contacted via phone (309) 382-2006, or through Nelson, William via phone (309) 344-2323.
Contact Information
Primary practice address
2079 Edgewater Dr
Pekin IL 61554
Phone: (309) 382-2006
Fax: (309) 382-2007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 04016 | Illinois |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1346524899 |
|---|---|
| LBN Legal business name | Bridgeway Inc |
| DBA Doing business as | |
| Authorized official | Nelson, William |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2011 |
| Last updated | Jul 25th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346524899 | NPPES |
| Illinois | Other | AC 217/557-9285 | MEDICARE CERTIFICATION |
| Illinois | MEDICAID | 04016 | MEDICARE CERTIFICATION |
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